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Perspective
Volume 354:2093-2095 May 18, 2006 Number 20
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Can Massachusetts Lead the Way in Health Care Reform?
Stuart H. Altman, Ph.D., and Michael Doonan, Ph.D.

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Our health care system is a mess. The number of uninsured Americans is approaching 50 million. The costs of health insurance are too high, and they are rising rapidly. Polls repeatedly show that a majority of Democrats, Republicans, and Independents favor universal health care coverage. The trouble is that we can't agree on a solution. The left wants to scrap the current system and substitute a government-financed single-payer program. The right supports consumer-directed health savings accounts and tax credits. More moderate elements on the right, such as Governor Mitt Romney of Massachusetts, also favor requiring all persons to purchase health . . . [Full Text of this Article]


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Dr. Altman is dean of the Heller School for Social Policy and Management, and Dr. Doonan is the executive director of the Massachusetts Health Policy Forum — both at Brandeis University, Waltham, Mass.

An interview with Dr. Altman can be heard at www.nejm.org.


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