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There Is No Silver Bullet

JudyAnn Bigby, MD

Arch Intern Med. 2009;169(20):1833-1835.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

As the public debate about national health reform rages on, the estimated cost of $1 trillion over 10 years threatens to stop reform dead in its tracks. The stewards of health care reform noted from the beginning that providing more Americans with coverage requires cost savings. This is not a message that most Americans want to hear. If they like the coverage they have, they want to keep it. People who are uninsured or underinsured want comprehensive coverage. Since Washington decided to take on coverage and health care costs simultaneously, the messages to the public are complicated.

In 2006, Massachusetts elected to expand coverage before attempting comprehensive cost savings and now has the lowest rate of uninsured in the country at 2.6%¹ after covering approximately 430 000 previously uninsured persons. The state expanded Medicaid eligibility, created state-subsidized insurance for non–Medicaid-eligible, low-income individuals, merged the small group and individual . . . [Full Text of this Article]

THE COSTS OF EXPANDED COVERAGE


CONTROLLING HEALTH CARE COSTS

MONITORING PROGRESS

AUTHOR INFORMATION


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