Incremental Universalism for the United States
The States Move First
Bibliographic Data
| ID | 14855201 |
|---|---|
| Authors | Jacob Gruber (0000-0003-0379-710X, National Bureau of Economic Research, corresponding author), Jonathan Gruber (Massachusetts Institute of Technology, and Research Associate, National Bureau of Economic Research, both in Cambridge, Massachusetts.) |
| Year | 2008 |
| Volume | 22 |
| Issue | 4 |
| Pages | 51-68 |
| Publication date | 2008-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Journal of Economic Perspectives (JOURNAL) |
| Journal identifiers | ISSN: 0895-3309 • E-ISSN: 1944-7965 |
| Publisher | American Economic Association (PUBLISHER • US) |
| DOI | 10.1257/jep.22.4.51 |
| OpenAlex | W2163212570 |
| Language | EN |
| Citations received | 2 |
| References cited | 1 |
The latest wave of health care proposals and laws in the United Sates has been marked by what I call “incremental universalism”—that is, getting to universal health insurance coverage by filling the gaps in the existing system, rather than ripping up the system and starting over. In this paper, I provide an overview of “incremental universalism” as an approach to healthcare reform, explore the issues it raises, and examine how these issues are being addressed at the state level, focusing primarily on the healthcare reform plan enacted by Massachusetts in April 2006. This sweeping bill altered insurance markets, subsidized insurance coverage for a large swath of the population, introduced a new health insurance purchasing mechanism (the “Connector”), and mandated insurance coverage for almost all citizens. The Massachusetts experience has led to similar proposals in a number of states, including a major (but ultimately failed) effort in California. I am far from an objective observer in discussing the Massachusetts law. I was one of the architects of the law and since 2006 have been a member of the board overseeing its implementation. Despite this bias and the fact that the ambitious Massachusetts plan is still in relatively early stages of implementation, I can say that some early results point to major successes for this reform
Business · Economics · General insurance · Health care · Health care reform · Insurance law · Insurance policy · Political science · Politics · Population · Sociology · Subsidy · Universalism · Global Health Care Issues · Healthcare Policy and Management · Law · Primary Care and Health Outcomes · Public Administration · Health Policy
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,08 |
| Citation span | 2000 - 2012 (13) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |