Analysis Probes Obstacles Facing State Governments in Covering the Uninsured

From 1992 to 1994, researchers at the Joseph L. Mailman School of Public Health at Columbia University analyzed state-level policy-making for the medically uninsured.

The research focused on the politics underlying major reform options, including private insurance market reforms, mandates and "play-or-pay" approaches, Medicaid expansions and models that combine several approaches.

The expected outcome was an article for publication in the health policy literature and a book-length manuscript for policy-makers, insurers and others working in the area of health care access.

Key Results

  • To date, the intended article and book have not been completed.

    During the grant period, a number of state reform plans that would have provided insurance to uninsured residents were put on hold pending the debate on national health care reform. When the Clinton administration's plan failed in the mid-1990s, other state-level plans faltered as well.

    A completed book manuscript is expected to be ready in fall 1999.