Health Affairs

Health Affairs, 28, no. 5 (2009): w917-w925 (Published online 18 August 2009) doi: 10.1377/hlthaff.28.5.w917 © 2009 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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Putting The Public’s Money Where Its Mouth Is

Daniel P. Kessler and David W. Brady

This paper reports the results of a 2009 national survey that quantifies Americans’ willingness to pay to expand health insurance coverage. We asked respondents whether they would support a Medicaid expansion, a subsidy for low-income people, or a subsidy for the chronically ill, if they had to pay more income taxes to cover the program’s costs. Based on respondents’ reported income, we told them approximately how much, in dollar terms, their tax increases would be. Our results reflect a tension in public opinion recognized by previous investigators: a desire for reform but limited willingness to pay for it.

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