The Center for Public Integrity conducted a year-long investigation of
the decision-making processes of the U.S. government during its work
on health care reform. The results suggest that health care reform has
become the most heavily lobbied legislative initiative in recent U.S.
history. In 1993 and 1994, hundreds of special interests spent over $
100 million to influence the outcome of this public policy issue. In P
art I, following a summary of the study and an introduction explaining
the methodology, the authors provide a brief history of other health
care reform efforts attempted in this century and examine the evolutio
n of the Clinton plan, from its inception through the task force proce
ss to its release.