Abstract
In the United States in the early 1990s, both public opinion and political actors agreed that healthcare system did not work properly anymore. The American system is based on employment, i.e. those who work can benefit from a healthcare insurance, but unemployed people and half-time workers cannot afford it. With the depression of the 1980s, this system excluded many American citizens from health care. In the early 1990s, more than 40 million of American citizens had no health coverage . It is also one of the most expensive systems in the world; in 1992, $ 838,5 billion were spent in health care in the country . During the presidential electoral campaign of 1992, this question emerged as the electors' biggest concern. Candidate Clinton made the issue of healthcare reform the main point of his program. He promised "to end welfare as we know it." When he came to power, one of his first decisions was to set up a task force to work on the health care reform.
