The fourth alternative is correct (D).
The Bill Clinton Administration has increased the purchasing power of Americans, achieved the lowest unemployment rate in US history and left a very high trade surplus. It is a reformist government that has left an economic legacy for the country.
However, the government did not succeed in reforming the health system. In 1993 Clinton presented a broad proposal to update the laws in question, with increased state control that would reduce the freedom of private companies to act. His ideas faced opposition and lobbying by insurers, displeased Republicans and divided opinions among Democrats, resulting in one of the Clinton administration's biggest political defeats.