The States

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Abstract
In the absence of federal action, many states, squeezed by recession1 and spiraling health care costs, have approved or are moving toward the enactment of legislation that would reform the way health care is paid for and provided within their borders. The legislation ranges from comprehensive plans with the goal of providing all citizens with health insurance through public subsidies and coverage financed jointly by employers and employees to less ambitious laws that reform the small-group insurance market, establish new cost-containment mechanisms, or create study commissions. State medical societies have generally been supportive of these reform efforts, except when legislatures . . .