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April 11, 2017

Achieving Universal Coverage Without Turning to a Single Payer: Lessons From 3 Other Countries

Author Affiliations
  • 1Harvard Business School, Boston, Massachusetts
  • 2Duke University, Durham, North Carolina
  • 3David Geffen School of Medicine at UCLA, Los Angeles, California
JAMA. 2017;317(14):1409-1410. doi:10.1001/jama.2017.1475

The most popular parts of the Affordable Care Act (ACA) are the most expensive. Universal coverage is a top priority not only for Democrats but also for President Trump. Both Republicans and Democrats want to preserve many costly coverage features of the ACA, including those that prevent insurers from precluding people with preexisting conditions and those that eliminate lifetime or annual coverage limits. The challenge is how to preserve these features and make insurance affordable.

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