During the last few months, no subject has generated more interest, more debate (particularly in Congress), or more activity than our nation's health and health care delivery system. Industry began to see a third of its expenditures used to provide health benefits to its employees. Consumers grew alarmed by health insurance premiums that escalated rapidly to thousands of dollars a year and locked them into their current position due to a lack of portability of coverage for preexisting conditions.

The nation saw its health bills consume 14 percent of the gross national product, or $900 billion. However, there is an interesting paradox:

most Americans have access to unparalleled state-of-the-art health care and are satisfied with the treatment that they receive;

people from all over the world come to the United States in search of the most advanced medical procedures and technology;

our medical education system produces some of the world's finest physicians and scientists; and

the United States is a world-recognized leader in biomedical research. Babies weighing less than one pound now survive and grow to become healthy children, and we have made remarkable progress toward unlocking the mysteries of the human genome.

At the same time, however, 40 million Americans are without health insurance, and another 30 million Americans do not have adequate health insurance. We have seen the reemergence of preventable diseases such as polio and measles, and the continuation of devastating but preventable disabilities caused by lead poisoning, the return of tuberculosis, and a veritable explosion of sexually transmitted diseases.

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