Abstract
After the upset senatorial victory of Harris Wofford in Pennsylvania in the spring of 1991, many political and health policy analysts prophesied that the presidential election of 1992 would revolve around reform of the health care system. My intention here is to explore where the nation stands on health care reform and to assess when the issue may move beyond rhetoric and preliminary skirmishing to substantive political engagement.A good place to begin is to identify the principal parties whose action or inaction will determine when health care reform will rise to the top of the nation's agenda. Much of . . .

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