Just over two years ago, Congress created the U.S. Bipartisan Commission on Comprehensive Health Care to recommend legislative action to ensure all Americans coverage for health and long-term care. That commission — renamed the Pepper Commission in honor of its creator and first chair, Representative Claude Pepper (D-Fla.) — fulfills its charge with its just-released final report to Congress.* Some may greet the report as a nonevent — just another set of recommendations to sit on the shelf, as the problems of Americans in getting and paying for health care continue to grow. For some, it has become far easier. . . © 1990, Massachusetts Medical Society. All rights reserved.