(Archived document, may contain errors) 499 April 3, 1986 CONTROLLING CATASTROPHIC HEALTH COSTS OTIS BOWEN'S GRAND OPPORTUNITY INTRODUCTION Health and Human Services HHS) Secretary Otis Bowen has been instructed by Ronald Reagan to report by year's end " on how the private sector and government can work together to.address the problem of affordable insurance coverage for those whose families are financially ruined by illness so-called catastrophic health costs.