Michael Cannon, director of health policy studies at the libertarian CATO Institute, says the Massachusetts law hasn't been an overwhelming success. "Everyone is spending someone else's money and can't believe they are spending their own," Cannon says. "We still have doctors and patients spending the government's money, and you've still got workers spending their employers' money."
Cannon says while it's generally acknowledged that insurance enrollment went up in Massachusetts under the health reform law, he reckons the numbers are inflated by a large percentage because people are afraid to admit they don't have insurance because of possible penalties.
An academic study by John F. Cogan and Daniel Kessler of Stanford University and Glenn Hubbard of Columbia University estimated that the Massachusetts plan has caused heath insurance premiums to rise 5.9% more than in the rest of the U.S. for the period from 2006 to 2008.