You cannot be too paranoid to understand the scheming behind politics. Powerline:
Now we learn from The Politico that in an internal White House staff memo from 1993 Hillary's staff saw federal coverage of children as a “precursor” to universal coverage. In a memo called “Kids First,” Clinton’s staff laid out backup plans in the event the universal coverage idea failed. According to the Politico, one of the key options was creating a state-run health plan for children who didn’t qualify for Medicaid but were uninsured. Under this approach, said the memo, "health care reform is phased in by population, beginning with children.” In this way, “Kids First is really a precursor to the new system. It is intended to be freestanding and administratively simple, with states given broad flexibility in its design so that it can be easily folded into existing/future program structures.”