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Washington State Institute for Public Policy

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Publications

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Single-Payer and Universal Coverage Health Systems: Interim Report
Open Publication PDF

John Bauer, Casey Hicks, Rachel Casselman - November 2018

The 2018 Washington State Legislature directed WSIPP to conduct a study of single-payer and universal health coverage systems. This interim report addresses several aspects of the study assignment. We discuss universal health care coverage and policies that promote it, define single-payer health care and examine how it differs from our current multi-payer system, examine the effects of single-payer systems on health care costs, and summarize the challenges of implementing single-payer systems.

Our final report, due in June 2019, will address the remaining components of the study assignment. It will describe universal coverage and single-payer systems in other countries, and review evidence regarding differences across high-income countries in health care costs, health outcomes, access to care, and equity.

Download:   Report  
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