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Health Affairs, 28, no. 3 (2009):
w417-w430
(Published online 24 March 2009)
doi: 10.1377/hlthaff.28.3.w417
© 2009 by Project HOPE
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Affording Shared Responsibility For Universal Coverage: Insights From California
Rick Curtis and
Ed Neuschler
This paper presents key insights from Californias 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 states 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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