Department of Sociology, Suffolk University, Boston, Massachusetts 02108, USA.
Womens Health Issues. 2011 Jan-Feb;21(1):1-5. doi: 10.1016/j.whi.2010.10.004.
Three years into Massachusetts' health insurance reform, we are beginning to see what that experience portends for women nationally in the wake of legislation similar to the Massachusetts model. Although the Massachusetts reform has been successful in terms of reducing the number of uninsured men and women, interviews with Massachusetts women reveal significant problems that remain to be addressed. In this paper, we offer snapshots of three women whom we interviewed on the cusp of the Massachusetts reform. None of the women had insurance at the time; thus, health care reform represents a significant improvement in their access to care. However, as these snapshots indicate, major challenges remain in terms of affordability, continuity of coverage, and systemic complexities in choosing plans.
马萨诸塞州的医疗保险改革已经进行了三年，我们开始看到，在类似马萨诸塞州模式的立法之后，这一经验对全国女性意味着什么。尽管从减少男女无保险人数的角度来看，马萨诸塞州的改革是成功的，但对马萨诸塞州女性的采访揭示了仍需解决的重大问题。在本文中，我们提供了三位女性的快照，她们是我们在马萨诸塞州改革前夕采访的。这三位女性当时都没有保险，因此，医疗改革代表着她们获得医疗服务的重大改善。然而，正如这些快照所表明的，在可负担性、保险连续性以及选择计划的系统复杂性方面，仍存在重大挑战。
