Health Security Express
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The Health Security Express was a 1994 series of 16 buses that traveled around the United States in groups to promote a 1993 plan for health care reform backed by Bill Clinton. Then-
U.S. President The president of the United States (POTUS) is the head of state and head of government of the United States of America. The president directs the executive branch of the federal government and is the commander-in-chief of the United States ...
Clinton campaigned on a bus alongside his wife Hillary, Vice President
Al Gore Albert Arnold Gore Jr. (born March 31, 1948) is an American politician, businessman, and environmentalist who served as the 45th vice president of the United States from 1993 to 2001 under President Bill Clinton. Gore was the Democratic no ...
, and
Tipper Gore Mary Elizabeth "Tipper" Gore (née Aitcheson; born August 19, 1948) is an American social issues advocate, activist, photographer and author who was the second lady of the United States from 1993 to 2001. She was married to Al Gore, the 45th vi ...
. The caravan was organized by health care reform supporters and various labor unions, who sponsored the buses at $20,000 each and were required to support health care reform legislation. The Health Security Express was announced by Clinton health care supporters on July 12, 1994 and coordinated by John H. Hoyt, a Democratic activist. The Health Security Express had a budget of $1.4 million to $1.9 million and was funded by donations ranging from $3,000 to over $100,000.


Events

Some riders joined the Health Security Express along the way, while others joined because they had "personal and professional stories of health care difficulties." During the national tour, some passengers, or "reform riders," told of their experiences with the U.S. health care system. Other events during rallies included music by
Willie Nelson Willie Hugh Nelson (born April 29, 1933) is an American country musician. The critical success of the album '' Shotgun Willie'' (1973), combined with the critical and commercial success of '' Red Headed Stranger'' (1975) and '' Stardust'' (1 ...
, speeches by Clinton himself, and the collecting of letters written by citizens supporting Clinton's reform plan. During one stop in
Independence, Missouri Independence is the fifth-largest city in Missouri and the county seat of Jackson County. Independence is a satellite city of Kansas City, Missouri, and is the largest suburb on the Missouri side of the Kansas City metropolitan area. In 2020, ...
, Clinton spoke about
universal health care Universal health care (also called universal health coverage, universal coverage, or universal care) is a health care system in which all residents of a particular country or region are assured access to health care. It is generally organized ar ...
proponent
Harry Truman Harry S. Truman (May 8, 1884December 26, 1972) was the 33rd president of the United States, serving from 1945 to 1953. A leader of the Democratic Party, he previously served as the 34th vice president from January to April 1945 under Franklin ...
, an Independence native. Both supporters and opponents of Clinton's plan turned out, which he said was reminiscent of protests he encountered in an earlier 1992 bus campaign. The Health Security Express was often met with opposition by
pro-life Anti-abortion movements, also self-styled as pro-life or abolitionist movements, are involved in the abortion debate advocating against the practice of abortion and its legality. Many anti-abortion movements began as countermovements in respon ...
advocates, who did not want health care reform to support abortions, and conservative groups against increased government presence, including the
National Taxpayers Union The National Taxpayers Union (NTU) is a fiscally conservative taxpayer advocacy organization and taxpayers union in the United States, founded in 1977 by James Dale Davidson. NTU says that it is the oldest taxpayer advocacy organization in th ...
. Health care reform supporters disregarded the protests, focusing instead on the riders' stories. The tour fell apart when Citizens for A Sound Economy's Texas chapter turned out hundreds of protesters who greeted the bus when it arrived in Dallas. CSE had an old school bus with signs reading "HillaryCare Will Break HealthCare" which circled the event site. Hillary Clinton was on the bus and went into the meeting hall and met with a small group of people, canceling the public event. The Health Security Express bus went on to Oklahoma, with the school bus following it to the Texas border. That event marked the end of the bus tour, and essentially the end of the Clinton health care initiative.


Organization

The Health Security Express actually comprised several groups of buses that departed from different regions:
Boston Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- mo ...
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Massachusetts Massachusetts (Massachusett: ''Muhsachuweesut Massachusett_writing_systems.html" ;"title="nowiki/> məhswatʃəwiːsət.html" ;"title="Massachusett writing systems">məhswatʃəwiːsət">Massachusett writing systems">məhswatʃəwiːsət'' En ...
;
Dallas Dallas () is the List of municipalities in Texas, third largest city in Texas and the largest city in the Dallas–Fort Worth metroplex, the List of metropolitan statistical areas, fourth-largest metropolitan area in the United States at 7.5 ...
,
Texas Texas (, ; Spanish: ''Texas'', ''Tejas'') is a state in the South Central region of the United States. At 268,596 square miles (695,662 km2), and with more than 29.1 million residents in 2020, it is the second-largest U.S. state by ...
;
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,
Missouri Missouri is a state in the Midwestern region of the United States. Ranking 21st in land area, it is bordered by eight states (tied for the most with Tennessee): Iowa to the north, Illinois, Kentucky and Tennessee to the east, Arkansas t ...
;
New Orleans New Orleans ( , ,New Orleans
,
Louisiana Louisiana , group=pronunciation (French: ''La Louisiane'') is a state in the Deep South and South Central regions of the United States. It is the 20th-smallest by area and the 25th most populous of the 50 U.S. states. Louisiana is borde ...
; and
Portland Portland most commonly refers to: * Portland, Oregon, the largest city in the state of Oregon, in the Pacific Northwest region of the United States * Portland, Maine, the largest city in the state of Maine, in the New England region of the northeas ...
,
Oregon Oregon () is a state in the Pacific Northwest region of the Western United States. The Columbia River delineates much of Oregon's northern boundary with Washington, while the Snake River delineates much of its eastern boundary with Idaho. T ...
. The caravan from Portland departed on July 22, carried around 90 passengers, and was scheduled to pass through
Missouri Missouri is a state in the Midwestern region of the United States. Ranking 21st in land area, it is bordered by eight states (tied for the most with Tennessee): Iowa to the north, Illinois, Kentucky and Tennessee to the east, Arkansas t ...
,
Indiana Indiana () is a U.S. state in the Midwestern United States. It is the 38th-largest by area and the 17th-most populous of the 50 States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th s ...
,
Kentucky Kentucky ( , ), officially the Commonwealth of Kentucky, is a state in the Southeastern region of the United States and one of the states of the Upper South. It borders Illinois, Indiana, and Ohio to the north; West Virginia and Virginia ...
,
West Virginia West Virginia is a state in the Appalachian, Mid-Atlantic and Southeastern regions of the United States.The Census Bureau and the Association of American Geographers classify West Virginia as part of the Southern United States while the B ...
,
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
, and
Maryland Maryland ( ) is a state in the Mid-Atlantic region of the United States. It shares borders with Virginia, West Virginia, and the District of Columbia to its south and west; Pennsylvania to its north; and Delaware and the Atlantic Ocean to ...
, before meeting the other buses in
Washington, D.C. ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...
, on August 3. Timing their arrival to the Congressional debate over Clinton's 1993 plan, the bus riders planned to bring out the letters amassed throughout the trip in D.C. Upon reaching their destination, the nearly 1,000 riders from 16 buses congregated on the South Lawn of the White House and heard three of the passengers recount their experiences with the health care system.


Response

The campaign started off slow, drawing little support while seeing protesters, and forcing organizers to ask members of the Cabinet to speak at stops. In addition, the Express experienced technical issues, including an overheating bus. The Clinton administration had hoped the caravans would be as effective as a six-day July 1992 bus tour during Clinton's presidential campaign. However,
Tony Blankley Anthony David Blankley (January 21, 1948 – January 7, 2012) was an American political analyst who gained fame as the press secretary for Newt Gingrich, the first Republican Speaker of the House in forty years, and as a regular panelist on ''T ...
said, "Public sentiment has crystallized against the Clinton health plan, and a bus tour won't change that." At some stops, more protesters than supporters turned out to meet the buses. The largely negative public response to Clinton's initiatives has been compared to the
Tea Party movement The Tea Party movement was an American fiscally conservative political movement within the Republican Party that began in 2009. Members of the movement called for lower taxes and for a reduction of the national debt and federal budget defi ...
's response to U.S. President
Barack Obama Barack Hussein Obama II ( ; born August 4, 1961) is an American politician who served as the 44th president of the United States from 2009 to 2017. A member of the Democratic Party, Obama was the first African-American president of the ...
's efforts to enact
Health care reform in the United States Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordab ...
. Obama has used strategies similar to those used during the Health Security Express, such as reporting the stories of individual citizens, but the Patient Protection and Affordable Care Act was successful compared to Clinton's 1993 plan.


References

{{reflist, 2 Healthcare reform in the United States Clinton administration initiatives