Aaron Henry J, Butler Stuart M
Brookings Institution, Economic Studies, in Washington, DC, USA.
Health Aff (Millwood). 2008 May-Jun;27(3):725-35. doi: 10.1377/hlthaff.27.3.725.
Support for state action should be part of any strategy to expand health insurance coverage. Decades-long political deadlock in Washington has frustrated national efforts to expand coverage. Some states have already undertaken to do this; others show a determination to do so. Regulatory and legislative flexibility would trigger widespread state action. Whether one thinks that ensuring coverage requires a unified national approach or that diverse conditions require different methods in different states, the likelihood of progress will be advanced if states test out various ways to expand coverage. We describe a practical way by which the federal government can promote state action to expand health insurance coverage.
支持政府采取行动应成为任何扩大医疗保险覆盖范围战略的一部分。华盛顿长达数十年的政治僵局阻碍了全国性的覆盖范围扩大努力。一些州已经着手这样做；其他州也表现出这样做的决心。监管和立法灵活性将引发广泛的州政府行动。无论认为确保覆盖范围需要统一的全国性方法，还是认为不同的情况需要不同州采取不同方法，倘若各州试验各种扩大覆盖范围的方式，取得进展的可能性都会增加。我们描述了一种联邦政府可以促进州政府采取行动扩大医疗保险覆盖范围的切实可行的方法。
