Controlling costs is emerging as the Obama administration’s top priority in health as it seeks a reform package that greatly expands coverage of the 47m uninsured Americans.
The White House’s approach is to widen coverage within strict fiscal constraints, rather than increasing coverage at all costs, reflecting the political and economic pressures imposed by record budget deficits, according to healthcare analysts.
Some liberal critics are concerned that Mr Obama is preparing to water down his ambitions to expand coverage and could jettison a promise to include a public healthcare plan. But many supporters recognise the increasingly urgent need to show fiscal discipline.