Health Affairs, 27, no. 3 (2008): 724 doi: 10.1377/hlthaff.27.3.724 © 2008 by Project HOPE	New Online   Pay Cuts For Medicare Docs   Access To Care Woes   Public Coverage More Efficient   Empowering Consumers

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States

PROLOGUE

The Role Of States

After years of near-paralysis in federal health care reform, it seems that much of the momentum driving efforts to expand coverage among the growing ranks of the un- and underinsured has shifted to the states. To some, enabling states to serve as "laboratories"—sparking new thinking and new strategies for increasing coverage, access, and even quality—makes perfect sense, as local actors are arguably best situated to respond to local circumstances. To others, this is a desperate last-ditch move, conceding the seeming intractability of entrenched positions that have long prevented the enactment of national reform legislation.

Relatively recently, the national spotlight has . . . [Full Text of this Article]

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