THE WHITE HOUSE
Office of the Press Secretary
For Immediate Release October 27, 1993
Table of Contents
Health Security, The President's Report to the American People
Letter from President William Jefferson Clinton
Foreword by First Lady Hillary Rodham Clinton
1 Why Change 1 Rising Insecurity 2 Growing Complexity 6 Rising Costs 7 Decreasing Quality 12 Declining Choices 14 Growing Irresponsibility 14 An American Challenge 16 2 Principles of Reform 17 Security 17 Simplicity 18 Savings 18 Quality 19 Choice 20 Responsibility 20
3 How the New System Works 21
How Reform Will Affect You 21 Small Business in the New System 24 Discounts for the Smallest Companies 26 An Overview of the New System 26 Flexibility 27
4 Security 33
Comprehensive Benefits 34 Insurance Reform 39 Limits on What Consumers and Businesses Pay 40 Protecting Older Americans 41 Access to Care in Rural and Urban Areas 43 5 Simplicity 47 Reducing Paperwork 47 Cutting Red Tape 51
6 Savings 53
Increasing Competition 54 Strengthening Buying Clout 56 Lowering Administrative Costs 58 Limiting Premium Increases 58 Reducing Health Care Fraud 59
7 Quality 61
Better Information for Judging Quality 62 Investing in Research 64 Emphasizing Preventive Care 65
8 Choice 71
Choosing a Doctor 71 Choosing a Health Plan 73 Increasing Options for Long-Term Care 74
9 Responsibility 77
Medical Malpractice 78 Paying for Health Security 80
Conclusion 85
Speech to Joint Session of Congress 89 President William Jefferson Clinton September 22, 1993
Appendix 107
I. Existing Government Programs 107
Medicare 107 Medicaid 108 Department of Defense 108 Veterans Health Care 109 Federal Employees Health Benefits Program 110 Indian Health Service 110
II. Scenarios Under Reform 111
Today 111
The Health Security Act 111
Employer Share 113 Two parent family 114 Couple 115 Individual 116 Self employed consultant 117 Small Business 118 Union worker 119 Teacher 120 Professional couple 121 Low-income family 122 Low-income couple 123 Part-time worker with no non-wage income 124 Part-time worker with non-wage income 125 Self-employed farmers 126 Medicare beneficiary 127 Working medicare beneficiary 129 Medicaid Beneficiaries (AFDC and SSI) 130 Medicaid Beneficiaries who do not receive AFDC or SSI 131 Child with disabilities 132 Undergraduate student 133 Unemployed Individual 134 Federal employee 135 Veteran 136