Documenting United States History

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498 CHApTEr 2 2 | a ConSerVatiVe tenor | period nine 1980 to the present TopIC I | an end to the twentieth Century^499499

primarily in the realm of ideas or consciousness and is as yet incomplete in the
real or material world. But there are powerful reasons for believing that it is the
ideal that will govern the material world in the long run. To understand how this
is so, we must first consider some theoretical issues concerning the nature of his-
torical change....

Francis Fukuyama, “The End of History,” National Interest 16 (Summer 1989): 3–18.

prACTICIng Historical Thinking


Identify: According to Fukuyama, what has ended?
Analyze: What does Fukuyama mean when he states that “it is the ideal that will
govern the material world in the long run”?
Evaluate: To what extent has Fukuyama’s prediction come true? Consult your text-
books for additional information.

Document 22.7 Bill Clinton, address on Health Care
reform
1993

In an attempt to revive liberal policies after twelve years of conservative executives, Pres-
ident Bill Clinton (b. 1946) unveiled his comprehensive health care legislation on Septem-
ber 22, 1993, during his first year in office. The bill failed to pass Congress.

Every one of us knows someone who’s worked hard and played by the rules and
still been hurt by this system that just doesn’t work for too many people. But I’d
like to tell you about just one. Kerry Kennedy owns a small furniture store that
employs seven people in Titusville, Florida. Like most small business owners,
he’s poured his heart and soul, his sweat and blood into that business for years.
But over the last several years, again like most small business owners, he’s seen
his health care premiums skyrocket, even in years when no claims were made.
And last year, he painfully discovered he could no longer afford to provide cov-
erage for all his workers because his insurance company told him that two of his
workers had become high risks because of their advanced age. The problem was
that those two people were his mother and father, the people who founded the
business and still work in the store.
This story speaks for millions of others. And from them we have learned a
powerful truth. We have to preserve and strengthen what is right with the health
care system, but we have got to fix what is wrong with it.
Now, we all know what’s right. We’re blessed with the best health care profes-
sionals on Earth, the finest health care institutions, the best medical research, the

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