RECENT ELECTION RESULTS REAFFIRM A CENTRIST position that not only bolsters America’s pluralistic heritage, but also perpetuates a roughly half-private and half-government financed health system. Of no surprise, therefore, was the conspicuous absence from the pre-election debates of any pivotal remedies for the long-term financing of entitlement or of how to accomplish major health reform. The Democrats and Republicans during the summer of 1996, interestingly, were relatively close (about a 7 percent difference) to agreeing on some projected Medicare cost cutbacks. Currently, neither political party is anxious to make any proposals, fearful of future reprisals at the polls. In fact, with both parties being unable to formally seek compromise on how to restructure the Medicare plan (an entitlement), gaining support on Capitol Hill is the appointment of a bipartisan government commission where all recommendations offered are either voted up or down by both houses of Congress.