34. Kenneth Thorpe, "An Analysis of the Costs and
UploadedPDF/1000548_TaxFacts_080403.pdf.
Coverage Associated with Blue Shield of California's
21. Nina Olsen, "National Taxpayer Advocate 2003
Universal Health Insurance Plan for All Americans,"
Annual Report to Congress," Taxpayer Advocate
Emory University, June 11, 2003.
Service, December 31, 2003, http://www.irs.gov/
35. Scott S. Greenberger, "Romney Eyes Penalties
pub/irs-utl/nta_2003_annual_update_mcw_1-15-
for Those Lacking Insurance," Boston Globe, June
042.pdf
22, 2005, citing estimates from the Blue Cross
22. Michael Calabrese and Laurie Rubiner, "Universal
Blue Shield Foundation.
Coverage, Universal Responsibility: A Roadmap to
36. Calabrese and Rubiner.
Make Coverage Affordable for All Americans," New
America Foundation Universal Health Insurance
37. Blue Shield Association of California, "Blue
Program Working Paper no. 1, January 2004, p. 4,
Shield Offers Healthcare Plan for Universal Cover-
http://www.newamerica.net/Download_Docs/pdfs/
age with Universal Responsibility," news release,
Pub_File_1443_1.pdf.
December 3, 2002. See also Kenneth Thorpe, "An
Analysis of the Costs and Coverage Associated with
23. Lyle Nelson, "How Many People Lack Health
Blue Shield of California's Universal Health In-
Insurance and for How Long?" Congressional
surance Plan for All Americans," Blue Shield
Budget Office, May 12, 2003.
Association of California, June 11, 2003.
24. C. Eugene Steuerle, "Implementing Employer
38. There is less to that claim than meets the eye,
and Individual Mandates," Health Affairs (Spring
however. Plans would still be required to use com-
II, 1994): 62.
munity rating, retain some--though not all--of the
25. DeNavas-Walt, Proctor, and Lee, Table 7, p. 18.
state's mandated benefits, and cap deductibles at
$1,000. That is far from a high deductible in a high-
26. Steuerle.
tech, high-cost health care state like Massachusetts.
Indeed, it is estimated that half of all Massachusetts
27. Office of the Governor, "Massachusetts Health
residents would meet this deductible. Arnold Kling,
Care Reform," PowerPoint presentation; see also
"Wrong State for Market-Based Health Insurance,"
Edmund Haislmaier, "Mitt's Fit," National Review
EconLog, November 26, 2005.
Online, January 27, 2006, http://www.nationalre
view.com/comment/haislmaier200601271110.asp.
39. Amy Lambiaso, "Details of Ambitious Health
Care Access Plans Begin to Emerge," Massachusetts
28. "2005 Personal Income Tax Filing Season
State House News Service, September 1, 2005.
Information," Commonwealth of Massachusetts
Department of Revenue, http://www.massdor.com
40. Greenberger.
/options/filingseasoninfo.htm.
41. Butler, "The Heritage Foundation Proposal,"
29. "The Uninsured: A Primer, Key Facts about
p. 18.
Americans without Health Insurance," Kaiser
Family Foundation, December 2003
42. Victoria Craig Bunce and J. P. Wieske, "Health
Insurance Mandates in the States: 2005," Council
30. Calabrese and Rubiner, p. 5.
for Affordable Health Insurance, January 2005,
http://www.cahi.org/cahi_contents/resources/pd
31. Julie Appleby, "Average Family Health Policy
f/MandatePubDec2004.pdf.
Nears $11,000," USA Today, September 14, 2005.
Of course for most people much or all of this cost
43. Ibid.
is hidden, paid by their employer. But people who
do not receive employer-paid health insurance--
44. Oregon Health Services Commission, "Prioriti-
the subjects of an individual mandate--would
zation of Health Services: A Report to the Governor
have to bear the cost themselves.
and Legislature," 1991.
32. For example, the average cost of an HAS-quali-
45. U.S. Office of Technology Assessment, Evaluation
fied family policy is roughly $7,900. "Employer
of the Oregon Medicaid Proposal, 1992, quoted in Jon-
Health Benefits 2005 Annual Survey," Kaiser
athan Oberlander, Theodore Marmor, and Law-
Family Foundation, p. 97, http://kff.org/insurance
rence Jacobs, "Rationing Medical Care: Rhetoric and
/7315/upload/7315.pdf.
Reality in the Oregon Health Plan," Canadian Medical
Association Journal 164, no. 11 (May 29, 2001): 1586.
33. Michael F. Cannon, "Medicaid's Unseen Costs,"
Cato Institute Policy Analysis no. 548, August 18,
46. Elliot Wicks, "Purchasing Pools in a System of
2005.
Universal Coverage: Facilitating Consumer Choice,"
11