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Minor medical reforms on the eve of elections

BMJ 1996; 313 doi: https://doi.org/10.1136/bmj.313.7064.1036a (Published 26 October 1996) Cite this as: BMJ 1996;313:1036

Just 10 days remain until Americans decide whether to reelect Bill Clinton as president for another four years or ditch him in favour of Republican Bob Dole. Whatever the outcome, Clinton will end his first term with only a tiny fraction of the health care reform that he promised at the outset. And what little he has achieved has been thanks to a Republican controlled Congress and Dole's fellow senator from Kansas.

Clinton promised universal and affordable health care for America in 1992. Neither has happened. Instead, the reforms have been incremental and have focused on the middle class, not the 40 million Americans with no access to care other than through emergency rooms. Clinton's biggest achievement was signed into law after nearly floundering in Congress in August. It was a bill sponsored by Republican senator Nancy Kassenbaum, a longtime Dole ally from Kansas who is retiring this year, …

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