Cover: Challenges of State Health Reform

Challenges of State Health Reform

Variations in Ten States

Published 1998

by Joel C. Cantor, Stephen H. Long, M. Susan Marquis

This DataWatch reports on the key findings from the 1993 Robert Wood Johnson Family Health Insurance Survey, which interviewed more than 27,000 families in ten states. There is considerable variation among the states in insurance coverage, health status, and access to care of both adults and children. Moreover, states with higher percentages of uninsured residents also have populations with lower health status and more access problems. This clustering of problems in certain states may make health care reform even more challenging for their elected officials to accomplish.

Originally published in: Health Affairs, v. 17, no. 1, January/February 1998, pp. 191-200.

This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.