Despite the chorus of pleas for redesign of America's medical insurance system as the 2008 presidential race heats up, a makeover seems less likely than a series of small reforms to fill in gaps in health coverage.
The calls for a far-reaching redesign of the health care system are as loud as they were in 1993, when a newly elected Bill Clinton tried to persuade Congress to enact a form of national health insurance.
But while the 2008 presidential contenders are talking about health insurance, most of their ideas are familiar ones aimed at expanding health insurance coverage rather than reinventing the wheel.
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