Int J Health Serv. 1995;25(3):411-53. doi: 10.2190/2MWC-6T9W-QYFE-K1FT.
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 Part 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 evolution of the Clinton plan, from its inception through the task force process to its release.
公共诚信中心对美国政府在医疗改革工作中的决策过程进行了为期一年的调查。结果表明，医疗改革已成为美国近代史上游说活动最为密集的立法举措。1993年和1994年，数百个特殊利益集团花费超过1亿美元来影响这一公共政策问题的结果。在第一部分，作者在总结研究并介绍方法论之后，简要回顾了本世纪其他医疗改革努力的历史，并考察了克林顿计划从构思到通过特别工作组流程直至发布的演变过程。
