Health Care Reform: It's Already Here

Brian Lewis, 36, single, and healthy, never gave medical insurance much thought--until two years ago, when he got word his traditional plan was going up from zero to $60 a month. That turned Lewis, a geologist for the State of California, into a health shopper: He interrogated friends and pored over all the data he could find on the eight health-maintenance organizations available to state workers in Sacramento. He settled on the TakeCare HMO, which uses a well-regarded hospital near his home. Although the state picks up the fee, Lewis has his eyes peeled for an even better plan: "Your HMO is probably one of the more important decisions you make," he says.

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