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Health Affairs, 25, no. 6 (2006):
w450-w452
(Published online 14 September 2006)
doi: 10.1377/hlthaff.25.w450
© 2006 by Project HOPE
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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 states business community, private insurance policyholders, and taxpayers. The plans 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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