J.W. Kingdon describes the agenda setting stage of policy formulation as a function of the confluence of three "streams" of activities: problems, possible solutions to the problems, and political circumstances (see Longest page 163). According to this metaphor, all three streams must be present for the policymaking process to move to the legislation development phase.

After reading information about President Clinton's Health Reform Proposal of 1993 (also known as "Hillary-Care), which did not pass the Congressional/Senate voting approval, and information regarding the Affordable Care Act (also known as "Obama-Care), which did pass and was upheld by the U.S. Supreme Court in the Summer of 2012, discuss the similarities and differences between the 2 acts. Also discuss why you think Clinton's reform proposal was not enacted into law.