This is Matthew Holt from The Health Care Blog with the article I've threatened Ezra's readers with for some time about what in my view really happened the last time we got serious about health care reform. And in it there are lessons for what we should do when the opportunity next comes up.
There are lots of versions about what killed the 1993-4 health care reform effort. Hillary Clinton has now decided that the problem was the lack of incrementalism in her plan. Last week the New York Times said that since becoming a Senator:
She has deliberately avoided the major mistake she made as first lady, namely trying to sell an ambitious plan to a public with no appetite for radical change. <SNIP>. She summed up her approach in the first floor speech she delivered in the Senate about four years ago, when she unveiled a series of relatively modest health care initiatives. "I learned some valuable lessons about the legislative process, the importance of bipartisan cooperation and the wisdom of taking small steps to get a big job done," she said, referring to the 1994 defeat of her health care plan.
On the other hand, some people are still claiming victory for the plan's defeat even if they were at most modest bit players. Here's what one fawning bio says about former New York Lt Governor Betsy McCaughey
A 35-year-old senior fellow named Elizabeth McCaughey...wrote an article for The New Republic on what she discovered in a close reading of the 1,431-page document containing the Clinton Health Care Plan: Namely, that it would put every citizen in a single government-operated HMO. That one article shot down the entire blimp, and Betsy McCaughey became a 35-year-old Cinderella. One of the richest men in America chose her as his wife, and George Pataki made her lieutenant governor of New York.
Ignoring the fact that McCaughey spent her time thereafter putting poor New Yorkers into those HMOs she so despised, and then went off the deep end en route to divorce from Pataki, the rich guy, and reality (not necessarily in that order), it's not really true that one article in The New Republic can be quite that influential. (Sorry Jon!). Even if the overly geeky Clintonistas in the White House did feel that they had to come out with a point by point rebuttal. And anyway, the article only came out in late 1994 by which time the die was more or less cast the other way. Again we have to look elsewhere for the explanation.
