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  • Title: The Clinton health plan: what does it do for reproductive health services?
    Author: Rosoff JI.
    Journal: Fam Plann Perspect; 1994; 26(1):39-41. PubMed ID: 8174696.
    Abstract:
    Of current concern is whether President Clinton's Health Security Act will provide quality, comprehensive reproductive health services. These services should include preconceptional risk assessment, contraception (including sterilization), infertility services, screening for sexually transmitted diseases and cancers of the reproductive system, prenatal diagnosis, abortion, prenatal care, and maternity care throughout the postpartum period. Clinton's health care reform plan clearly addresses preventive health services, considers the long term, and grants preventive services preferential treatment. Yet, it does not provide specifics on family planning or make it a priority. It does not even address family planning under preventive services. The plan never mentions abortion, despite the president's insistence that abortion care is included. Clinton emphasizes that the national policy is to prevent unwanted pregnancies. The lack of specifics makes it difficult to determine whether the plan will maintain or improve existing reproductive health services. Limited information is available on coverage by private insurance policies. Advantages of the Clinton plan are removal of financial obstacles, permanent eligibility, and uniform coverage of services regardless of income, state, or residence. Unless the plan becomes more specific, disadvantages may include limited or no coverage of family planning services and limited or no access to reproductive health services for low-income women. Managed care programs may not provide sensitive reproductive health services (e.g., abortion) on religious or moral grounds. Many political barriers exist to health care reform. If Congress breaks the policy deadlock, with only cosmetic reform that ignores obvious problems, we will be left with the same, but more exacerbated, issues to be addressed in the future.
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