Professor Jonathan Gruber from MIT recently spoke to a standing-room only crowd in Konover Auditorium about health care reform in the U.S. Speaking at the 2nd annual Philip E. Austin Forum on the Economics of Public Policy on “Health-Care Reform in the U.S.: What Happened and Where Do We Go Now?”, Gruber described his experience with health care reform in Massachusetts. Gruber was a key architect of the Massachusetts program. He described Massachusetts’ “three-legged stool” approach to ensuring adequate health care coverage, which includes (1) insurance market reforms (to prohibit exclusions or pricing based on health status), (2) a mandate that individuals buy insurance (or pay a penalty for not doing so), and (3) subsidies to help low-income individuals comply with the mandate.
Gruber then compared the Massachusetts experience to the experience of federal health care reform embodied in the Obama-led Affordable Care Act. He noted that, while the federal reform is based on the same three-legged stool approach used in Massachusetts, it is more ambitious (and hence challenging). Unlike the Massachusetts reform, the federal program had to find new sources of money to fund the subsidies required to ensure access to insurance for low income individuals. In addition, the federal reform sought to bring down rising health care costs, which was not a primary goal of the reforms in Massachusetts. Gruber went on to discuss the challenges currently facing the implementation of the federal reform.
Professor Gruber is a leading expert on the economics of health care. He has published extensively on this topic and has served as an advisor on health care reform at both the state and federal level. The Austin Forum is designed to bring experts such as Professor Gruber to UConn to discuss important, contemporary public policy issues from an economic perspective, and to honor the legacy of President Phil Austin, who served as President of the University from 1996-2007 and is currently serving as Interim President.