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The next phase of the study focused on whether the PSAs work

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And research had shown that for many welfare recipients a major barrier to employment is the forfeiture of medical coverage, which they would otherwise not be able to afford.) By the same token, Republican strategists swiftly figured out that passage of the Clinton plan, however modified, might have devastating electoral consequences: as William Kristol wrote in an influential memo, the plan would strike a punishing blow against Republican claims to defend the middle class by restraining government. A receptive atmosphere quickly soured as Republicans scrambled to enlist the fire power of business interests, some of which had earlier been sympathetic to reform

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