State Health Reform Flatlines

Source: Steffie Woolhandler, Benjamin Day, and David U. Himmelstein, International Journal of Health Services, Volume 38, Number 3, 2008

Massachusetts’ recent health reform has generated laudatory headlines and a flurry of interest in state-based initiatives to achieve universal health insurance coverage. In 1988, a similar Massachusetts effort was also acclaimed and was imitated by several other states. Unfortunately, none of those efforts can be judged a success. The authors briefly review this earlier experience and caution against premature declaration of victory.

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