Can We Get There from Here? Universal Health Insurance and the Congressional Budget Process

There is renewed political interest in universal health insurance in America. Massachusetts, California, and a number of other states are considering different forms of legislation. 2 Presidential candidates from both parties have plans and are discussing them. 3 All of this is happening now because the US health insurance system is no longer working for many people for whom it had worked in the past. Employer-sponsored insurance (ESI), the source of most private coverage in the United States, is declining.

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