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PERSPECTIVE - Insuring Californians: A Proposal That Matters
Authors: Rick Curtis, Ed Neuschler - IHPS
December 12, 2006, Health Affairs Web Exclusives
Abstract: The basic provisions of the proposal by George Halvorson and colleagues provide a realistic way for many states to afford coverage for their uninsured residents, including what we find to be sensible revenue source suggestions. In this commentary we suggest some modifications to achieve a more viable plan. For example, we believe that market reforms to assure ready access to affordable coverage for all individuals is an essential adjunct to, and is made possible by, a requirement that individuals obtain health insurance.
PROPOSAL - A Proposal to Cover the Uninsured in California
Authors: George C. Halvorson, Kaiser Foundation Health Plan, Inc.; Francis J. Crosson, Permanente Federation LLC; and Steve Zatkin, Kaiser Foundation Health Plan and Kaiser Hospitals
December 12, 2006 Health Affairs Web Exclusives
A reform proposal that acknowledges and respects the unique political and cultural environment of this large state.
Abstract: The Lack of health coverage for millions of Californians is a major societal problem. In the absence of federal action, we propose a state-based approach that leverages existing systems to create near-universal coverage within two years. We describe several subsidized benefit options for low-income uninsured Californians, emphasizing preventive and primary care, and we propose satastrophic coverage, at a minimum, for higher-income uninsured Californians. Proposed financing mechanisms include a health care sales tax and an "in-lieu" payroll tax.
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