The 2008 presidential election has rekindled long-simmeringhopes for comprehensive health care reform. The policy debateincludes references to new government programs (perhaps a federalprogram for the uninsured to buy into) and vague formulas forcost containment (usually involving overly optimistic assessmentsof savings to be generated by using health information technology).Ironically, however, the debate generally ignores what I seeas 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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