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Perspective
HEALTH CARE 2009

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Volume 360:323-325 January 22, 2009 Number 4
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Medicaid and the U.S. Path to National Health Insurance
Michael Sparer, Ph.D., J.D.

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The 2008 presidential election has rekindled long-simmering hopes for comprehensive health care reform. The policy debate includes references to new government programs (perhaps a federal program for the uninsured to buy into) and vague formulas for cost containment (usually involving overly optimistic assessments of savings to be generated by using health information technology). Ironically, however, the debate generally ignores what I see as the most plausible path toward universal coverage: first, expanding Medicaid to cover the largest portion of the uninsured, Americans with incomes below 350% of the federal poverty level (around $62,000 for a family of three); and second, . . . [Full Text of this Article]


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Dr. Sparer is a professor of health policy at the Mailman School of Public Health, Columbia University, New York, and the editor of the Journal of Health Politics, Policy and Law.


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