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I. lNTRODUCTION  279 II. ARE STATESREALLYSETTINGTHE STAGE FOR FEDERAL HEALTH CARE REFORM?  279 A. Why Are the States Pushing so Hard? A Brief Recap of How We Arrived Here  279 1. Costs and Consequences of the Uninsured  280 2. The Fallout From the Managed Care Movement  282 B. The Federal Government's Response to Rising Health Care Costs  285 1. Medicare Modernization Act: The Beginning of Something Good?  286 2. Deficit Reduction Act  288 3. State Children's Health Insurance Program  288 III. STATES WITH PROMISING UNIVERSAL HEALTH CARE REFORM INITIATIVES  290 A. Major Movers in State Health Care Reform  290 1. Massachusetts-Commonwealth Care  291 2. Maine-Dirigo Health  293 3. Vermont-Catamount Health  294 B. Other Promising State Initiatives  295 1. California  295 2. Maryland  297 3. Pennsylvania  298 4. Indiana  299 5. New Mexico  300 IV. FUNDING ANALYSIS-HOW IS HEALTH REFORM BEING FINANCED?  300

Finally Moving Beyond the Fiction: An Overview of the Recent State Rally for Health Care Reform