Kentucky’s Experiment with Health Care Reform

Kentucky’s attempt to reform health care in the mid-1990s provides a glimpse into what can happen when insurance market reforms are enacted without a requirement that everyone obtain health insurance coverage.


It’s not that I like mandates, because I don’t. But without them, the way the insurance reforms are set out in the federal Act, it too will be a catastrophe. There has to be something in place to make reforms workable.”
What kind of health care reform increases health costs by 100 percent? I didn’t like it, but I bit the bullet and went ahead and bought it.”
I think it would have worked, and more states would have done it [had Kentucky coupled insurance reforms with a coverage requirement].”