In claiming earlier this year that the current U.S. health-care system “was HillaryCare before it was called ObamaCare,” Hillary Clinton was telling the truth—but not the whole truth. In 1993, while first lady, Mrs. Clinton led a task force to deliver universal health care to the voters who elected her husband. She failed. After many revisions, the final bill stalled in the Senate for lack of Democratic votes.
HillaryCare was a comprehensive plan for the government to take over the health-care system, with program details and cost-control measures precisely defined. Having learned from that defeat, the Obama administration left as many details as possible to be written during implementation after ObamaCare became law. With few details to defend and the clear falsehood that “if you like your health-care plan you can keep it,” President Obama pushed through his “signature” legislation.
While Bill Clinton recently denounced the Affordable Care Act’s effect on the health-care market as “the craziest thing in the world,” ObamaCare was never anything more than a politically achievable steppingstone. As with HillaryCare, a single payer, national health-care system has always been the goal.
Hillary Clinton’s Health Security Act of 1993 would have broken the nation’s health-care system into regional Healthcare Purchasing Cooperatives, which would have collectively set treatment guidelines and implemented cost-control measures. In the abstract, HillaryCare was just as popular as ObamaCare would be 16 years later, with some 20 Republican senators initially supporting an alternative plan that would have largely implemented HillaryCare.
That’s when Sen. John McCain, the late Sen. Paul Coverdell and I took our fight against the bill to regional media markets. When we attacked HillaryCare as inefficient, people yawned. When we showed that the program was unaffordable, people checked their watches. But when we focused on the extraordinary loss of freedom that HillaryCare entailed, where the federal government decided the doctor you could see and the services that could be provided, our rear-guard action became a crusade.
The stone that slew the HillaryCare Goliath was freedom. Even the Democrat-appointed head of the Congressional Budget Office was forced to conclude that under HillaryCare health-insurance premiums were federal revenues and all health-cooperative expenditures were federal outlays.
