Massachusetts is getting ready to implement a plan with a novel approach aimed at providing universal health care:
“This is probably about as close as you can get to universal,” said Paul Ginsburg, an economist who is president of the nonpartisan Center for Studying Health System Change in Washington. “It’s definitely going to be inspiring to other states about how there was this compromise. They found a way to get to a major expansion of coverage that people could agree on. For a conservative Republican, this is individual responsibility. For a Democrat, this is government helping those that need help.”
The bill, which resulted after months of wrangling between legislators and the governor, requires all Massachusetts residents to obtain health coverage by July 1, 2007.
Individuals who can afford private insurance will be penalized on their state income taxes if they do not buy it. Government subsidies to private insurance plans will enable more of the working poor to be able to afford insurance and will expand the number of children who are eligible for free coverage. And businesses with more than 10 workers that do not provide insurance will be assessed a fee of up to $295 per employee per year.
All told, the plan is projected to cover 515,000 uninsured people within three years, about 95 percent of the state’s uninsured population, legislators said.
“It is not a typical Massachusetts-Taxachusetts, oh just crazy liberal plan,” said Stuart H. Altman, dean of the Heller Graduate School for Social Policy and Management at Brandeis University. “It isn’t that at all. It is a pretty moderate approach and that’s what’s impressive about it. It tried to borrow and blend a lot of different pieces.”
If this goes well it’ll obviously be a major feather in Gov. Romney’s cap when he runs for president in 2008. He clearly wants to present himself as a non-ideological pragmatist who can work with the other side to get things done (um, sort of like what George W. Bush said about himself when he ran for president the first time, but anyway…).