Moving Beyond Political Deadlock: Health Reform Initiatives in States

Source: Rachel Degolia, Perspectives on Work, Summer 2006, Volume 10, no. 2

The Massachusetts health reforms approved in April 2006 are indicative of a larger trend among states, in the absence of federal action, states—on the front lines of dealing with the nation’s health care crisis—have begun to take the lead on comprehensive health care reforms.

The state experiments bubbling up around the country illustrate not only the potential for real progress, but also the problems and pitfalls of state-based health care reform. As a result of state-level health policy developments, reform advocates must grapple with new challenges. These include the need to anticipate and address the political and social consequences of state mandates and to help states devise strategies for curtailing rapidly rising health care costs.

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