“The first lady’s months of meetings with the Congress has produced a significant amount of trust and confidence by the members in her ability to help produce a viable health reform legislative product with the president,” said an undated and unsigned document, which was cataloged with others from April 1993. The document urged quick action, warning that enthusiasm for health reform “will fade over time.”
But the documents also showed the growing concerns among Clinton’s fellow Democrats in Congress. Lawmakers, it said, “going to their home districts for the August break are petrified about having difficult health care reform issues/questions thrown at them.”
Administration officials also wanted to distance Hillary Clinton from a staff meeting on the touchy subject of making health care cost projections appear reasonable. Top aides wrote an April 1993 memo saying pessimistic cost-savings projections from the nonpartisan Congressional Budget Office were “petrifying an already scared Congress.”
By September 1993, Hillary Clinton acknowledged the obstacles in a Capitol Hill meeting with House and Senate Democratic leaders and committee chairs. “I think that, unfortunately, in the glare of the public political process, we may not have as much time as we need for that kind of thoughtful reflection and research,” the first lady said, citing “this period of challenge.”
The meetings also showed that Hillary Clinton was doubtful that a health care law with a universal mandate — requiring people to carry health insurance — would be approved. “That is politically and substantively a much harder sell than the one we’ve got — a much harder sell,” she told congressional Democrats in September 1993, predicting it could send “shock waves” through the “currently insured population.”
In 2007, when she ran for president, Clinton made the “individual mandate” a centerpiece of her “American Health Choices Plan,” requiring health coverage while offering federal subsidies to help reduce the cost to purchasers.