Julie Rovner is NPR’s national health policy correspondent. She’s also the author of Health Care Politics and Policy A to Z, now in its third edition, published by CQ Press. She joined us on the line from NPR in Washington. Rovner tells Lake Effect’s Mitch Teich that the last time there was a concerted health care reform effort in this country - in 1993 - there was also a Democratic Congress and a new Democratic president. But she says circumstances have changed a lot since then.