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Clinton realized in the wake of Perot's surge that he couldn't stick with an expensive, government-run system such as "pay or play." This also meant that the great liberal hope, a single-payer system in which the government would become everyone's insurer, was a nonstarter. Clinton needed a new approach. In August his health advisers began moving toward the notion of providing universal coverage but relying on market forces to hold down costs. Known as "managed competition," the system would create regional alliances that would buy coverage in large, economical packages from rival groups of doctors...

Author: /time Magazine | Title: Bill and Hill Clinton: Behind Closed Doors | 9/20/1993 | See Source »

Allow states flexibility in choosing various health-care plans. A state might, for example, implement a Canadian-style "single-payer" system, in which the state pays its residents' medical bills from tax revenues. Single- payer plans are expected to be popular in rural areas that have too few health-care providers to allow for the managed-competition approach...

Author: /time Magazine | Title: Ready to Operate | 9/20/1993 | See Source »

...Part of the political problem is that there is little consensus either in Congress or among the public about the "something" that should be done with health care. Lawmakers are splintered among liberals who want a government- run, Canadian-style single-payer system; conservatives who prefer minimalist reforms to the insurance market; and those in the middle who support various versions of managed competition...

Author: /time Magazine | Title: Ready to Operate | 9/20/1993 | See Source »

...avalanche of TV commercials from lobbying groups. Thunder on the left from those who want single payer. Thunder on the right from those who oppose any taxes. But despite the treacherous weather, Hillary will prevail...

Author: /time Magazine | Title: The Morning Line: Sep. 20, 1993 | 9/20/1993 | See Source »

...iced tea and talking with several aides for a couple of hours, her fair skin well covered in a sea-green cotton skirt and top, and she then called over six lunching reporters. Under the bright Hawaiian sun, waves lapping a few yards away, she began discussing the single- payer health care system, or the Canadian Plan, as it is sometimes known -- the more fully centralized approach favored by many liberals. Mrs. Clinton criticized it, and promoted the hybrid scheme that she said would finally be announced in the fall. "There's a lot to be said for crafting...

Author: /time Magazine | Title: Dispatches: Policy Wonks in Paradise | 7/26/1993 | See Source »

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