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Starting with universal coverage will give everyone a stake in controlling costs going forward, he says.
They don't agree with universal coverage and will never be placated".
States' decisions will determine the fate of America's experiment with universal coverage.
It would be the first state to opt out of the Affordable Care Act and replace it with universal coverage.
In the four countries with universal coverage, adults with above-average income were more likely to have private supplemental insurance.
"Even in countries with universal coverage, individuals pay some medical care costs out of pocket," the researchers noted.
As a result, total government health expenditures per capita (mainly for Medicare and Medicaid) are now almost as high as in many countries with universal coverage.
Along with universal coverage, Mr. Obama has made controlling those costs a central pillar of his health care overhaul, calling the current course "unsustainable".
As a result, access to new drugs is not uniform among patients in a country with universal coverage for prescription drugs.
An epidemic of anxiety over the cost of health care has catapulted reform back onto the national agenda, and states from California to Massachusetts are now experimenting with universal coverage.
And the President-elect himself has sent signals promising a new policy with universal coverage and much lower deductibles, whose mechanisms have not been described and whose aims seem functionally impossible.
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