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Health Affairs, 26, no. 1 (2007): w80-w91
(Published online 12 December 2006)
doi: 10.1377/hlthaff.26.1.w80
© 2007 by Project HOPE
 
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A Proposal To Cover The Uninsured In California

George C. Halvorson, Francis J. Crosson and Steve Zatkin

The lack of health coverage for millions of Californians is a major societal problem. In the absence of federal action, we propose a state-based approach that leverages existing systems to create near-universal coverage within two years. We describe several subsidized benefit options for low-income uninsured Californians, emphasizing preventive and primary care, and we propose catastrophic coverage, at a minimum, for higher-income uninsured Californians. Proposed financing mechanisms include a health care sales tax and an "in-lieu" payroll tax.


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