- Because of the baby-boom, health care and retirement programs were going to run out of money.
- Because doing anything about it was complicated and fraught with risk, no politician was going to do anything about it until it was too late.
In 1993 and 1994 the Bill Clinton administration attempted to push the Health Security Act through congress. This was a true overhaul of health care in the United States, which provided for a set of regional health care alliances which managed the interaction between health insurance providers and consumers. It avoided the controversial "mandate" of Obama's plan by making health care premiums a tax which funded regional alliances.