http://biggovernment.com/2010/01/19...reform-lessons-from-massachusetts/#more-61686 Evidence-Based Health Care Reform? Lessons From Massachusetts by Dr. Lorraine M. Schratz In Massachusetts, where 97% of us have health insurance by mandate since 2006, we have learned a few things about health care reform. 1. We have learned that universal coverage does not mean universal access to a doctor. 2. With more than half of all the doctors trained in Massachusetts leaving the state, citing the practice environment and low salary levels, and one out of every four currently practicing doctors considering a career change, it does not appear that access issues are going to improve soon. 3. We have also learned that mandating coverage does not decrease costs. In fact, health insurance premiums have gone up and health care expenditures have not gone down since universal coverage was mandated in Massachusetts.