title: The long and winding road: reflections on California's 'year of health reform'.
abstract: California's recent failed attempt to expand health coverage broadly offers lessons for future coverage expansion efforts. Policy efforts are most likely to advance if they are bipartisan; address the needs of both insured and uninsured residents; deliver short-term progress within the context of long-term goals; rely on broad and sustainable financing; strike a balance between specificity and flexibility; and occur within a clearer framework of state and federal responsibilities.
authors.affiliation: California HealthCare Foundation in Oakland, USA. mmulkey@chcf.org
authors.forename: Marian R
authors.initials: MR
authors.lastname: Mulkey
authors.forename: Mark D
authors.initials: MD
authors.lastname: Smith