In medicine, as in politics, timing is everything. After the massive policy depolarization of the Clinton Plan, health care reform entered a refractory period. The debate was downsized, moving away from global solutions, adopting a more incremental approach. Where there was once debate about universal access, recent discussions have centered about smaller questions such as the hardly contentious use of electronic medical records or the more ambitious Medicare drug benefit plan.
Fins JJ. Rx for Health Care Reform. JAMA. 2008;299(12):1479-1480. doi:10.1001/jama.299.12.1479