This is a form of rationing by price that has a long history in the United States, to the detriment of the poor, and it is a problem that presently affects about 15 percent of all Americans. Second, the term can refer to the denial of commodities to those who have the money to buy them:
The question now being raised is whether health care should be rationed in this sense, whether its availability should be limited, even to those who can pay for it. This kind of rationing would affect the 85 percent of all Americans who currently have health insurance and any others who may later be added to their ranks.(Aaron and Schwartz, 1990, p. 418)
Once the Clinton Plan was announced, various Republican groups offered plans of their own. There were three basic proposals showing the different groups involved and the ideological and practical differences among them. Congressional Republicans differ in degrees on three major issues--whether reform should be incremental or comprehensive, whether the new health care system should be employer based or individual based, and whether to go with managed competition or a less regulated free market model. They also differ on how much government control is needed and whether new taxes should be levied. One clear reason why the Republicans have been trying to develop a health care initiative is the showing in polls that their constituents want such a plan (Meyer, 1993, 23).
The basic goal of reform of the health-care system is based largely on different aspects of insurance reform to provide coverage that is universal, reaching those millions of Americans who are ei
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