Curtis Rick, Neuschler Ed
Institute for Health Policy Solutions in Washington, DC, USA.
Health Aff (Millwood). 2009 May-Jun;28(3):w417-30. doi: 10.1377/hlthaff.28.3.w417. Epub 2009 Mar 24.
This paper presents key insights from California's recent experience in developing a plan for universal health coverage with "shared responsibility" among individuals, employers, and governments. A major challenge was finding an acceptable balance among the goals of affordability, equity, and cost to the state. Although reform did not pass, the state's approach-particularly differences from Massachusetts regarding modest-income workers and related employer and public roles-provides important insights for federal reform.
本文介绍了加利福尼亚州近期在制定全民医保计划方面的关键见解，该计划要求个人、雇主和政府共同承担责任。一个主要挑战是在可承受性、公平性以及对该州成本的目标之间找到可接受的平衡。尽管改革未获通过，但该州的方法——特别是在低收入工人以及相关雇主和公共角色方面与马萨诸塞州的差异——为联邦改革提供了重要见解。
