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Previous Volume 358:1540-1542 April 10, 2008 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The health insurance reform enacted in Massachusetts in 2006 and the proposals of the leading Democratic presidential candidates seek to achieve universal health insurance coverage while relying primarily on private insurance. Achieving universality is a challenge in any system that assigns insurance coverage, whether private or public, to identifiable individuals. The difficulties of finding, enrolling, and accounting for all eligible participants escalate when most of the financing for coverage is expected to come from premiums paid directly to multiple insurers rather than from funds collected centrally by the government through taxation. To address this problem, some reform models incorporate an . . . [Full Text of this Article]

Source Information

Dr. Glied is a professor and chair of the Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York.

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

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