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A proposal to extend employment-based options under publicly funded coverage expansions.

To determine what level of costs for health coverage and out-of-pocket spending are "affordable," and by whom, old partisan dogmas must be put aside.by Rick Curtis and Ed Neuschler ABSTRACT: This paper presents key insights from California's recent experience in developing a plan for universal health coverage with "shared responsibility" among individuals, employers, and governments. A major challenge was finding an acceptable balance among the goals of affordability, equity, and cost to the state. Although reform did not pass, the state's approach-particularly differences from Massachusetts regarding modest-income workers and related employer and public roles-provides important insights for federal reform. [Health Affairs 28, no.

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