President Clinton appointed his wife to cheerlead reforms in the health care system. Through the Hillarycare, the president and his wife used a managed rivalry approach to achieve its determination. Unlike Hillarycare which was led by the president's wife, the Obama administration reforms in the health care system were championed by President Barack Obama since running for office in 2008 (Blackman, 2016). According to the Hillarycare health reforms, the government was tasked with controlling doctor bills and insurance premiums to lower health care costs. Similarly, the goal of Obamacare was to reduce health care overall (Schimmel, 2016). Under Obamacare, healthier young people would pay premiums though not use the services. Both the Obamacare and Hillary were intended to increase competition among health insurance companies which would drive insurance companies to provide high-quality cost packages and at lowest costs to the Americans (McLaughlin & McLaughlin, 2015).
Clinton used universal handling, regional health alliances, and the national health board to implement the proposed health care reforms. Comprehensive coverage aimed to ensure every American had access to health insurance. No insurance company would deny coverage to both the United States citizens and resident aliens with pre-existing conditions (McLaughlin & McLaughlin, 2015). Similarly, the Obama healthcare legislative required insurance companies not to exclude individuals with pre-existing conditions. Insurance companies were also not needed to drop any person when he/she gets sick. According to the Clinton Healthcare legislative, the unemployed could also purchase health insurance from regional health alliances at subsidized costs (Schimmel, 2016). On the other hand, the Obama's proposed health care reforms expanded subsidies for low and middle-income earners (Blackman, 2016).
Regional health alliances, which were critical for Clinton's achievement of proposed health reforms were groups based at state levels mandated to purchase health insurance. The government would allocate funds to states to administer these regional health alliances (Blackman, 2016). An essential responsibility of regional health alliances was setting charges for health care providers according to a fee-per-service, an approach that could make health care more affordable. The other role of partnerships was to set rates for premiums which they collected (Schimmel, 2016). Most importantly, non-employer coverage in Clinton's health care legislation was provided by regional health alliances. On the other hand, non-employer coverage in Obama administration was provided by health insurance exchange which are marketplaces where people can select the type of insurance that best meets their needs (Blackman, 2016).
Another essential area to look in Clinton's health care legislation and Obama healthcare legislative is what sources funded the two reforms. While Clinton's healthcare reforms were financed through deficit spending, Obama's changes in the healthcare system were supported by Obama taxes (McLaughlin & McLaughlin, 2015).
With regards to Medicare under Clinton's administration, "doughnut hole" did not exist while the Obama administration eliminated "doughnut hole." While Obama is viewed to have succeeded in reforming the U.S. healthcare system, Clinton's reform flopped.
References
Blackman, J. (2016). Unraveled: Obamacare, Religious Liberty, and Executive Power. Cambridge: Cambridge University Press.
McLaughlin, & McLaughlin. (2015). Health policy analysis: An interdisciplinary approach (2nd ed). Sudbury, MA: Jones and Bartlett. ISBN: 9781284037777.
Schimmel, N. (2016). Presidential Healthcare Reform Rhetoric: Continuity, Change et Contested Values from Truman to Obama. Cham: Springer International Publishing.
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