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May 13, 1992

For Quick Reference, Here Are Candidates' Positions on Health Care Reform

JAMA. 1992;267(18):2444. doi:10.1001/jama.1992.03480180030005

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HEALTH CARE reform—how much, in what form, and how to finance it—has become a major issue in the presidential campaign.

Each candidate has his own recipe. Here, briefly summarized, are the major positions.

Republicans  George Bush offers tax credits of up to $3750 to enable low-income families to purchase basic health insurance. A similar tax deduction for health insurance premiums is provided for the middle class, members of which are defined as having annual incomes up to $80 000.Health insurance reforms are proposed that would enable small businesses to provide coverage through purchasing pools and by mandating that all health insurers provide coverage regardless of the insured's health status. Costs would be controlled by encouraging managed care, such as health maintenance organizations, and by an overhaul of the malpractice liability system.So far, Bush is the only candidate to come up with a hard figure on cost. When fully