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Affording shared responsibility for universal coverage: insights from California.

Authors
  • Curtis, Rick1
  • Neuschler, Ed
Type
Published Article
Journal
Health affairs (Project Hope)
Publication Date
Jan 01, 2009
Volume
28
Issue
3
Identifiers
DOI: 10.1377/hlthaff.28.3.w417
PMID: 19318366
Source
Medline
License
Unknown

Abstract

This paper presents key insights from California's recent experience in developing a plan for universal health coverage with "shared responsibility" among individuals, employers, and governments. A major challenge was finding an acceptable balance among the goals of affordability, equity, and cost to the state. Although reform did not pass, the state's approach-particularly differences from Massachusetts regarding modest-income workers and related employer and public roles-provides important insights for federal reform.

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