Three big problems brought us the health system reform debate, and with the collapse of this year's historic reform effort, all three are destined to get worse. The number of uninsured will continue to grow, as it did by more than 1 million between 1992 and 1993.1 Middle-class health insurance problems and insecurities will also grow, as more and more Americans find their benefits cut and their out-of-pocket costs increased, their insurance dropped, or their choices constrained.2,3 And despite the recent moderation in price increases in health, even the most optimistic forecasts see health care spending rising to levels that will consume an ever-larger share of the federal budget.4
These realities will force renewed debate about health system reform in 1995. However, the starting point will not be the sweeping proposals of last year, but more likely the incremental reform plans we saw considered as Congress adjourned.
Altman D. The 1995 Health Policy Debate. JAMA. 1995;273(3):247-248. doi:10.1001/jama.1995.03520270081042