By John E. McDonough
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Sample text
The cost control part of the plan was introduced in June 1979, halfway through the third year of Carter’s difficult term in office, showing that his passion for coverage was eclipsed by his determination for cost control. His signature legislation to contain hospital costs passed the Senate and was defeated in the House. 7 Universal coverage reemerged as a compelling political issue in 1993, when Bill Clinton staked his young presidency on achieving national health reform, placing Hillary Rodham Clinton in charge of the cause and a five-hundred-person White House task force.
Yet in his first months as chief executive, he created an in-house task force to develop a plan to cover the state’s five to six hundred thousand uninsured residents. Whether his interest was triggered by national ambitions, policy concerns, his wife’s battle with multiple sclerosis, or something else, we never knew. Others got the same idea around the same time. The Blue Cross and Blue Shield of Massachusetts Foundation launched its own “Roadmap to Coverage” process in 2003, hiring the Washington DC–based Urban Institute to scope out policy options for universal coverage and beginning a series of “policy summits” at the John F.
Feeling outnumbered by Democrats, Romney gave a speaking role to a representative from the Heritage Foundation, the con- 38 / Preludes and Process servative Washington DC think tank that had provided some key policy ideas embedded in the new law. Romney’s people handed out beige buttons with the phrase Making History in Healthcare. On the back in tiny print were the words Made in Mexico. A three-person fife-and-drum corps, dressed in tricorn hats and breeches, marched and played down the center aisle to open the ceremony.