Abstract

The Center for Public Integrity conducted a year-long investigation of the decision-making processes of the U.S. government during its work on health care reform. The results suggest that health care reform has become the most heavily lobbied legislative initiative in recent U.S. history. In 1993 and 1994, hundreds of special interests spent over $100 million to influence the outcome of this public policy issue. In Part III, the authors conclude their description of these special interests, including political organizations, the elderly, labor, and public interest groups and foundations. The report concludes with a discussion of how the work of Congress is influenced by political contributions to individual members of Congress and to the Democratic and Republican parties, trips sponsored by the health care industry, and investments held by members of Congress in health care-related industries.

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