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Proving Grounds for Health Care Reform

Will the wonders of the states as labs of democracy never cease? Certainly not when it comes to health care reform. There is, for starters, ...

Will the wonders of the states as labs of democracy never cease? Certainly not when it comes to health care reform.

There is, for starters, some new feedback from Massachusetts' universal coverage program: From a public health standpoint, coverage for all makes a big difference.  More people have cut back on smoking because more people are either in Medicaid, which pays for smoking patches and other quitting-assistance or are seeing physicians who lead them to the same help. And the rate of colonoscopy screenings is up, as is the rate of flu immunization shots.

Then there's a decades-ago experiment in Florida with health-insurance coops -- much like the non-profit co-ops under discussion for the national health plan. The results of Florida's experiment: Not so good. The co-ops were out of business within six years.

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