Health Affairs

Health Affairs, 25, no. 6 (2006): w450-w452 (Published online 14 September 2006) doi: 10.1377/hlthaff.25.w450 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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PERSPECTIVE

Massachusetts: More Mirage Than Miracle

Tom Miller

Enactment of the Massachusetts health reform plan stemmed primarily from several factors unique to the state. They were augmented by a questionable rationale that this latest version of health reform would forestall even greater threats ahead to the interests of the state’s business community, private insurance policyholders, and taxpayers. The plan’s foremost achievement involves development of a "Connector" mechanism to facilitate pooling and purchasing beyond the workplace. However, its successful implementation will be challenged by the complexities of enforcing an individual mandate and changing the long-standing course of an overregulated and high-cost health market.

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