Dr. Jay Himmelstein, chief health policy strategist at the Center for Health Policy and Research at the University of Massachusetts Medical School, has analyzed various models for implementing insurance exchanges, writing with a colleague in the journal Health Affairs linked here about the importance of following the lead of early adopters, particularly paying attention to technology.
Mr. Starr, who broadly supports the Obama administration's efforts to overhaul the health system, has suggested that Democrats consider a system in which anyone who doesn't get insured can sign away access to the law's subsidies, insurance exchanges for buying policies and guaranteed coverage of pre-existing medical conditions for five years, rather than pay the fee.