Long Sharon K
Urban Institute in Washington, DC, USA.
Health Aff (Millwood). 2008 Jul-Aug;27(4):w270-84. doi: 10.1377/hlthaff.27.4.w270. Epub 2008 Jun 3.
In April 2006, Massachusetts passed legislation intended to move the state to near-universal coverage within three years and, in conjunction with that expansion, to improve access to affordable, high-quality health care. In roughly the first year under reform, uninsurance among working-age adults was reduced by almost half among those surveyed, dropping from 13 percent in fall 2006 to 7 percent in fall 2007. At the same time, access to care improved, and the share of adults with high out-of-pocket costs and problems paying medical bills dropped. Despite higher-than-anticipated costs, most residents of the state continued to support reform.
2006年4月，马萨诸塞州通过了一项立法，旨在使该州在三年内实现近乎全民医保覆盖，并在扩大医保覆盖范围的同时，改善人们获得负担得起的高质量医疗保健服务的机会。在改革实施的大约第一年，接受调查的在职成年人中的未参保率几乎降低了一半，从2006年秋季的13%降至2007年秋季的7%。与此同时，医疗服务的可及性得到改善，自付费用高昂且支付医疗账单有困难的成年人比例下降。尽管成本高于预期，但该州的大多数居民仍继续支持改革。
