Turnbull Nancy C
Blue Cross Blue Shield of Massachusetts Foundation, Boston, USA.
Health Aff (Millwood). 2006 Nov-Dec;25(6):w453-6. doi: 10.1377/hlthaff.25.w453. Epub 2006 Sep 14.
The Massachusetts health reform law has attracted national attention for its bold vision and its unique combination of tested and innovative policy approaches. Despite the law's promise, implementation challenges lie ahead, including building and sustaining public and legislative support for the law; ensuring care for those who are left out; and containing health care costs. The provisions that are most certain of success should provide coverage to 70 percent of the state's 530,000 uninsured residents. The state's ultimate success in reaching its goal of near-universal coverage will depend on how well the state can respond and adjust as implementation proceeds.
马萨诸塞州的医疗改革法案因其大胆的设想以及久经考验与创新政策方法的独特结合而备受全国关注。尽管该法案前景可期，但仍面临实施方面的挑战，包括建立并维持公众及立法机构对该法案的支持；确保为那些被遗漏的人群提供医疗服务；以及控制医疗成本。最有把握成功的条款应能为该州53万未参保居民中的70%提供医保覆盖。该州在实现近乎全民医保目标方面最终能否成功，将取决于其在实施过程中应对及调整的能力。
