Health reform is once again a front-page story in the United States. This is hardly a surprise: since 1970, US health policy has followed a predictable (and seemingly unending) cycle of discovering a crisis in the health system, identifying and debating policy solutions, ultimately doing little or nothing in the way of reform while extolling the virtues of markets and state innovation, only to rediscover later that the system is still in crisis. Having rejected the health reforms proposed by President Bill Clinton in 1993, which would have created a system of universal health insurance through and employer mandate, and having largely ignored the issue for the ensuing decade, the US finds itself (again) with a troubled health system badly in need of reform
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