In 2006, the state of Massachusetts passed a sweeping overhaul of the state's health-care system. The system, which influenced the Obama administration's plans for national reform, has since faced unexpected and unchecked growth in costs, both to the government and individuals, forcing the government to cut benefits and raise taxes. Now analysts say that without significant policy changes, the program's long-term viability is in doubt.
State officials have successfully increased health insurance coverage in the state: With only 2.6 percent of the population now lacking health insurance, its insurance rate is the highest in the nation. But high coverage levels have been achieved at a substantial price, and one that is expected to increase over time.