McGlynn Elizabeth A, Wasserman Jeffrey
RAND Health, Santa Monica, California, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w447-9. doi: 10.1377/hlthaff.25.w447. Epub 2006 Sep 14.
The Massachusetts plan to extend health insurance coverage to nearly all of the state's residents offers several lessons related to health reform, including the following: Bipartisan cooperation is possible; multiple policy mechanisms must be employed to achieve meaningful change; the starting point-in terms of the rate of uninsurance, the degree of insurance market regulation, and so on-matters; and implementation details are critical. In addition to these lessons, we argue that objective analysis and a comprehensive framework for evaluating alternative policy options are needed for similar reforms to be enacted elsewhere.
马萨诸塞州将医疗保险覆盖范围扩大至该州几乎所有居民的计划提供了若干与医疗改革相关的经验教训，包括以下几点：两党合作是可行的；必须采用多种政策机制才能实现有意义的变革；就未参保率、保险市场监管程度等而言，起点很重要；实施细节至关重要。除了这些经验教训，我们认为，要在其他地方推行类似改革，需要进行客观分析并建立一个评估替代政策选项的综合框架。
