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Perspective
HEALTH CARE 2009

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Volume 361:6-7 July 2, 2009 Number 1
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The Individual Mandate — An Affordable and Fair Approach to Achieving Universal Coverage
Linda J. Blumberg, Ph.D., and John Holahan, Ph.D.

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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Some of the most prominent shortcomings of the U.S. health insurance market are rooted in the fact that the system is a voluntary one. Outside the state of Massachusetts, which recently instituted broad-based health care reform, no one under the age of 65 years is required to obtain health insurance coverage of any kind. Voluntary insurance markets have led to a system centered on segmenting health risk instead of one whose primary mission is ensuring affordable access to necessary and efficiently provided high-quality medical services. But the past need not be prologue. The orientation of our system and the distorted . . . [Full Text of this Article]


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From the Urban Institute, Washington, DC.

This article (10.1056/NEJMp0904729) was published on June 17, 2009, at NEJM.org.




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