I believe one of the biggest reason why healthcare reform took decades for a major change to occur is due to the popularity of the president. I think that every time a president has started their attempt at health care reform the president’s popularity has dropped due to reasons in and out of the healthcare arena. Once the popularity drops the president has other issues to face and healthcare drops as a main priority. I also think the amount of time for the process takes and the amount of approval necessary makes it extreme difficult for any change to be made. I think if the majority in the congress is of the opposite party of the president there it is more likely the president will face greater opposition in his healthcare policy.
For me, the biggest failure of U.S. healthcare reform were the attempts of Bill Clinton. He failed because he was too ambitious with his proposed policy which caused a lot of resistance. He also gave the first lady a large role in the reform which was unpopular among many Americans at the time. I think this failure is huge because the Clintons were so confident that they promised they would pass their bill yet in the end the bill never came to the floor.
I believe the biggest success in healthcare reform is the affordable care act because it is the first time in decades that a major reform has been made. I categorize this as success compared to other health care reforms because this was truly successful as the bill was actually passed. I do not necessarily know if this is the best step forward but I know great change has occurred.