Health Care Reform Case Study

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In the Clinton health care reform case, the primary interest groups were the Big Five, Business Roundtable, National Federation of Independent Business (NFIB), and Health Insurance Association of America (HIAA). The Big Five was the strongest supporter of the health care reform while the NFIB and HIAA were the strongest opponents of the proposal. The Business Roundtable was predictable to be favorable to the proposal; however, several members favored a newer proposal (Cooper-Gandy) which they showed more support.
The HIAA represented smaller businesses and opposed health care reform because small business owners could not cover the costs of health insurance for all employees. Bill Gradison, president of the HIAA, approached Ira Magaziner to alter some parts to the proposed health care that small businesses could meet the standards for new health care. In addition, the HIAA started raised money to create negative advertisements that aired in Washington D.C. to sway lawmakers to vote
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However, when the plan was unveiled some companies such as General Mills and PepsiCo opposed the health care reform because all employees, including part-time, would need health insurance that companies were not willing to pay. In addition, the health care reform would have options for premium options that are additional costs. When Rep. Jim Cooper and Rep. Fred Gandy created a health care (Cooper-Gandy) that eliminated employer mandates and premium caps but added unlimited deductions, which attracted other members of the Business Roundtable. Soon other members of the Business Roundtable started to show support towards the Cooper-Gandy proposed bill and forced panic through the Clinton administration to get the remaining Business Roundtable members to support the original health care

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