For the 15 years since the last efforts at major federal health reform receded, advocates have waited for the right moment to push again. That time appears be now, as the Obama administration seems committed to health reform.
Further, consensus seems to be emerging among health reform advocates on the structure of reform beyond extension of the State Children's Health Insurance Program (SCHIP).1 Momentum is gathering around the combination of 2 reforms: making Medicare available to all citizens and strengthening public oversight of the small-group and individual insurance markets through a Massachusetts-style “connector.” The 2 together would create more substantial governmental oversight and control of health care than ever before, but this would occur in what appears to be an incremental fashion and market competition could ostensibly be preserved. As a result, the proposal may be more politically palatable than previous reform efforts. In this Commentary, we review this approach and the factors that give it political momentum.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 4
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.