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Suddenly, the hot potato of health care reform is being grabbed with bare hands by lawmakers of every political stripe and by coalitions of employers, unions, insurers, and medical and consumer groups that have rarely seen eye to eye on the issue.
Now, after half a century of failed attempts, the momentum toward universal health coverage—within states or nationwide, through public or private systems or a combination of both—has surged onto the national stage, having recently percolated up from the states.
In particular, the bold actions taken by Massachusetts, Vermont and California—states with Democratic-controlled legislatures and Republican governors—are leading a groundswell for change. California Gov. Arnold Schwarzenegger has proposed extending coverage to the 20 percent of residents who now lack insurance. The plan requires residents to get health insurance and employers to provide coverage for workers or else contribute to the cost of covering the uninsured. It caps administrative spending by insurers, raises payments to hospitals and doctors and imposes a new tax on them. Massachusetts is grappling with the realities of a similar, though less ambitious, law enacted last year under then-Gov. Mitt Romney.
The new mood for reform is coming from employers and state governments struggling under rising health care costs; from policymakers wanting to replace the fragmented system with a unified one that covers everybody; and from the uninsured, a group that now approaches 47 million.
But there is another group that eventually may exert a more powerful impact on the debate: people who have coverage but sense that it's dangling by a fraying thread.
"The core motivation [for reform] is that for the last few years health insurance premiums have been going up faster than earnings," says Paul Ginsburg, president of the Washington-based Center for Studying Health System Change. "That means there are a lot of people who have insurance but feel vulnerable to losing it."
2007-03-09
12:48:14
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marnefirstinfantry
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