New America Foundation, Washington, DC, USA.
Health Aff (Millwood). 2010 Jun;29(6):1106-11. doi: 10.1377/hlthaff.2010.0429.
The journey of national health reform legislation from concept to President Barack Obama's desk was long and winding, but not without important guideposts. Core elements of Massachusetts' 2006 health reform--near-universal, affordable coverage; changes in the small-group and individual insurance markets; and an individual mandate to obtain insurance--provided a road map for policy makers charting national health reform. Our experience with the Massachusetts reform informed our work on the Senate Health, Education, Labor, and Pensions Committee in 2008 and 2009. We compare national and Massachusetts health reforms and analyze their implications for the future.
国家卫生改革立法从概念到巴拉克·奥巴马总统办公桌的旅程漫长而曲折，但并非没有重要的路标。2006 年马萨诸塞州卫生改革的核心要素——近乎普及、负担得起的覆盖范围；小型团体和个人保险市场的变化；以及获得保险的个人强制要求——为政策制定者制定国家卫生改革提供了路线图。我们在 2008 年和 2009 年在参议院健康、教育、劳工和养老金委员会的工作中借鉴了马萨诸塞州改革的经验。我们比较了国家和马萨诸塞州的卫生改革，并分析了它们对未来的影响。
