Health Care Reform Déjà vu: What’s Changed Between 1992-2014? 02/17/2014 By John Leifer in Healthcare, Healthcare reform No Comments Tags: Historic perspective on health care reform CLICK ON EACH IMAGE TO ENLARGE AND READ (select next page by using back arrow, then clicking on next page). Please let me know your thoughts. It appears that health care has been in crisis for many decades, but the pace of change has been glacial at best.