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State Health Care Reform: Retargeting Medicaid Hospital Payments toExpand Health Insurance Coverage

State officials must decide whether to use existing governmenthealth care funding to help individuals and families buy healthinsurance or continue funneling taxpayer dollars into existinghealth care institutions to defray the costs of emergency-room carefor the uninsured. Transferring Medicaid dollars to help poorerindividuals and families access solid private coverage can begin tochange the broader health care system.
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