Annotations for People: Magaziner-ira

I'm Maria Martin. Reaction to and debate about President Clinton's Health Security Act of 1993 began long before the act was unveiled officially and is still going strong. Latino USA's Patricia Guadalupe spoke with Latino legislators and policy makers in the nation's capital. She prepared this report.

In what is called by analysts the most ambitious economic and social reform since President Franklin Roosevelt proposed social security more than half a century ago, President Clinton delivered his long promised plan to reform the current healthcare system. In a joint session of Congress, he outlined what he called six guiding principles. Security, simplicity, savings, choice, quality and responsibility, with the focus on universal access. Although President Clinton offered very little detail, particularly on how to pay for the new system, it was welcomed by both Democrats and Republicans in Congress. Democratic representative Ed Pastor of Arizona called this a first step in the right direction.

People want change and I'm happy that he took this bold step. It'll probably be the only step we'll have to change our health system and now it's up to us. He made the challenge to us. He said, "Here's a blueprint. Congress a year from now, give me the legislation back that makes every American secure in their in that they know they have health service available to them." And now the challenge is to us, and I hope we do it in a very nonpartisan way and get it done.

When President Clinton speaks of universal access to the healthcare system, he includes Puerto Rico. Under his plan, residents of the island will receive the same amount of Medicaid payments as those who live on the mainland. Under the current system, Puerto Ricans on the island receive only 20% of what they would receive if they lived here. Resident commissioner Carlos Romero Barcelo, Puerto Rico's representative in Congress, is pleased with the proposed change.

For the first time in our history, we're now going to be covered in equal terms with all citizens in the nation. Up to now, the Medicaid has not covered Puerto Rico. We have only gotten 79 million dollars and now for the first time we are going to be treated as equals.

But when President Clinton speaks of universal access, he doesn't include undocumented workers. Under his plan, only US citizens and legal residents will be included. Ira Magaziner, our chief advisor to the president on healthcare, explains why.

We're guaranteeing something to all American citizens. And they're not American citizens, they're not here legally and there's something that we think is not quite right about saying people who are illegally here should get a legal benefit from the country.

Activists have complained that this will actually cost more in the long run. Some go a step further and say excluding undocumented workers is discriminatory. Cecilia Munoz, Senior. Immigration Policy Analyst at the National Council of La Raza is one of them.

It's pretty clear that the decision's politically motivated, that the administration doesn't want to find itself in a position of having to defend taxpayer dollars being used to cover undocumented immigrants. Unfortunately, that decision's really not in the best interest of the public health in the United States.

Unlike some of the president's earlier speeches. Republican response to this one was generally favorable. While some said the proposed changes would create a huge unmanageable bureaucracy, most said they recognized the need for change. Republican representative Lincoln Diaz-Balart, Florida, says he wants to see change but not at the expense of what he calls the best system in the world.

And that's one of the problems when you have these socialized systems like in England where I hear that the people in Great Britain are extraordinarily dissatisfied with their system now because of the lack of quality and also the total bureaucratic morass.

In the next few weeks, president Clinton is expected to present to Congress details on how he plans to pay for the new system. It is on that particular issue where much debate is anticipated. For Latino USA, I'm Patricia Guadalupe in Washington.