- In the 1990s, the state had enacted tax increases to compensate providers for charity care. Thus there was already a substantial pot of money that could be redirected.
- Prior to reform, the state had a fairly low level of uninsured (10% versus about 15% nationwide)
- The state is relatively prosperous.
- The state has a strong culture of civic responsibility, which lessened business community opposition to reform, and robust civic culture, which means there were lots of people who could help with community outreach into areas with a large number of uninsured.
Thursday, September 17, 2009
Why Massachusetts Worked (relatively) Well
After reading through the transcript of a Kaiser panel on the Massachusetts reform, it bears repeating that Massachusetts had several things going for it that made