A historian by training, with a PhD from Columbia University, McCaughey has, over the years, provided conservative media commentary on US public policy affecting healthcare-related issues. Her 1993 attack on the Clinton healthcare plan was likely a major factor in the initially-popular bill's defeat in Congress. Also, it brought her to the attention of Republican Pataki, who chose her as his nominee/running mate. In 2009, her criticisms of the Affordable Care Act, then a bill being debated in Congress, again gained significant media attention in television and radio interviews, and it may have specifically inspired the "death panel" claim about the act.