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On a hopefully sunlit but assuredly cold day this month, President-elect Bill Clinton will raise his hand and take the oath as the new president of our nation. On that day, he will assume responsibility for many issues which, as campaign rhetoric, sounded reasonably easy to solve. Now that he must deal in the reality of the problems, he may find them more difficult to solve than he anticipated.

One of the most difficult and troubling issues, and one around which he campaigned the hardest, is the issue of solving the country's health-care crisis.

The twin pillars of Clinton's health policy were to control escalating costs of health care and improve access …