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States face long, hard road to universal coverage. (No Huge Solution is Coming Forward).
BALTIMORE -- Although several states have attempted it, no state has successfully implemented a universal coverage program, and the chances of any state doing so in the near future are slim, several speakers said at a meeting on state efforts to expand health care coverage sponsored by the University of Maryland.
There are several reasons states may not do anything about health care coverage for awhile, according to Carol Weissert, Ph.D., director of the Institute for Public Policy and Social Research at Michigan State University in East Lansing. "There are no concurrent voices" from the states. "No huge solution is coming forward.... Instead, we're seeing a lot of little solutions."
Another problem is a lack of resources among states, especially money And states that are considering trying something in conjunction with the federal government fear that the government will have a change of heart and take the money away, she said at the meeting, cosponsored by Johns Hopkins University.
Term limits have added to the problem, Dr. Weissert continued. For example, in Michigan, 70% of the legislature is new There are a lot of people wandering around who are ignorant" on health care issues.
And yet health care is clearly important to state officials, with 86% of the winners of the recent governor's races identifying health care as an issue of major significance, she said.
In part, that is because the crisis of the uninsured is growing worse, according to John Holohan, Ph.D., of the Urban Institute in Washington. "State health policy faces long-term problems," he said. "Employer coverage is likely to decline with rising costs and slow economic growth, and health care costs are increasing at really rapid rates." Costs of long-term care are likely to increase because of the ongoing labor force shortages.
Dr. Holohan disputed the idea that many states can function as "laboratories" for trying out innovative health care coverage plans. "The number of innovative states is ...
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Source: HighBeam Research, States face long, hard road to universal coverage. (No Huge Solution...