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Oregon Surpasses Struggles of Early Reform and Develops a Road Map for Future Success

Jennifer Fisher Wilson
[+] Article, Author, and Disclosure Information

Potential Financial Conflicts of Interest: None disclosed.

Ann Intern Med. 2008;149(2):149-152. doi:10.7326/0003-4819-149-2-200807150-00025
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Health care reform is nothing new to Oregon. In the early 1990s, the state launched a forerunner to today's state-based efforts, the Oregon Health Plan (OHP). In its original form, the OHP aimed for nearly universal health coverage by mandating employers to provide health insurance for employees and expanding Medicaid. It addressed both the lack of insurance among low-income residents and the irrational denial of life-saving treatment even while coverage provided less effective therapies for less serious conditions, according John Kitzhaber, MD, the emergency department physician and state senator who authored the plan (1).



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