On the recordSeptember 24, 1993
What I think we should do is we should have an annual review process which would permit us, if we don't realize the savings through management we intend to realize, to make a decision to phase in some of the newer benefits over a longer period of time. That would control what we do--or to present them as options that can be paid for separately at the decision of the consumer until the savings enable us to phase them in completely. I do not believe--I will say again--I do not believe you can justify taking the world's most expensive and bureaucratic system in which most Americans who have insurance pay more than they should, under any conceivable model that they'd be in, anyone besides this one, and ask them to pay taxes on top of that to pay for the uninsured. We have got to manage this system to make it simpler, to achieve the savings without sacrificing choice and quality. We can plainly do it. We know it's been done in Germany, just to take one other example. We know it's been done several places in the United States. And the administration is happy to carry the burden into these congressional hearings of demonstrating the evidence that it can be done. But if it doesn't happen just as it should, then what should happen is we should phase the benefits in more slowly or present them as options that can be paid for. We shouldn't raise general taxes on people who are already paying too much for their own health care to pay for somebody else's health care who's not paying anything for it. I just don't think that's right. Thank you very much.
Source
govinfo.gov