Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.3.w417 (Published online March 24, 2009) © 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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Affording Shared Responsibility For Universal Coverage: Insights From California

Rick Curtis ^1* Ed Neuschler ²

¹ Rick Curtis is president of the Institute for Health Policy Solutions in Washington, D.C.
² Ed Neuschler is a senior program officer at the Institute for Health Policy Solutions in Washington, D.C.

^*Corresponding author.

Abstract

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. [Health Affairs 28, no. 3 (2009): w417-w430 (published online 24 March 2009; 10.1377/hlthaff.28.3.w417)]

Key Words: Consumer Issues, Health Reform, Insurance Coverage, Legal/Regulatory Issues, State/Local Issues, Health Spending, State/Local Issues - California

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