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 California’s 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 state’s 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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Home page
Health Aff (Millwood)Home page
R. Curtis and E. Neuschler
Designing Health Insurance Market Constructs For Shared Responsibility: Insights From California
Health Aff., May 1, 2009; 28(3): w431 - w445.
[Abstract] [Full Text] [PDF]


Home page
Health Aff (Millwood)Home page
M. R. Mulkey and M. D. Smith
The Long And Winding Road: Reflections On California's 'Year Of Health Reform'
Health Aff., May 1, 2009; 28(3): w446 - w456.
[Abstract] [Full Text] [PDF]