alth care reform efforts was increased provision of health care services by extending coverage to many of those citizens who are now under-insured or not insured at all in the U.S. health care system. The Clinton plan involved some type of employer mandate, which was not supported by Republicans, since they believed it would be onerous for small business owners (Leutwyler, 1994). Consumer Reports noted that there is considerable difference between universal coverage, which the Clinton plan attempted to provide and universal access, which was promoted by the Cooper plan and some of the Republican efforts. Universal access simply meant that all citizens would have the opportunity to buy insurance if they could afford it, not, like the Canadian system, that all citizens would actually be covered and receive health care benefit.
Accessibility to health care services in this country is naturally limited because of the continuing reliance on market factors and competitive behavior in the provision of health care benefits.
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