Heading up the effort to reform health care was an unprecedented thing for a First Lady to do, as was my decision to give Hillary and her staff offices in the West Wing, where the policy action is, as opposed to the traditional office space in the East Wing, where the social affairs of the White House are run. Both decisions were controversial; when it came to the First Lady’s role, it seemed Washington was more conservative than Arkansas. I decided Hillary should lead the health-care effort because she cared and knew a lot about the issue, she had time to do the job right, and I thought she would be able to be an honest broker among all the competing interests in the health-care industry, government agencies, and consumer groups. I knew the whole enterprise was risky; Harry Truman’s attempt to provide universal health coverage had nearly destroyed his presidency, and Nixon and Carter never even got their bills out of committee. With the most Democratic Congress in decades, Lyndon Johnson got Medicare for the elderly and Medicaid for the poor, but didn’t even try to insure the rest of those without coverage. Nevertheless, I thought we should try for universal coverage, which every other wealthy nation had long enjoyed, for both health and economic reasons. Almost 40 million people had no health insurance, yet we were spending 14 percent of our gross national product on health care, 4 percent more than Canada, the country with the next-highest rate.
On the night of the twenty-fifth, at their urgent request, I met with the Joint Chiefs of Staff to discuss the gays-in-the-military issue. Earlier in the day, the
The chief of naval operations, Admiral Frank Kelso, said the navy had the greatest practical problems, given the close and isolated living arrangements on ships. The army chief, General Gordon Sullivan, and U.S. Air Force General Merrill McPeak were opposed, too. But the most adamant opponent was the commandant of the Marine Corps, General Carl Mundy. He was concerned about more than appearances and practicalities. He believed that homosexuality was immoral, and that if gays were permitted to serve openly, the military would be condoning immoral behavior and could no longer attract the finest young Americans. I disagreed with Mundy, but I liked him. In fact, I liked and respected them all. They had given me their honest opinions, yet had made it clear that if I ordered them to take action they’d do the best job they could, although if called to testify before Congress they would have to state their views frankly.