Architects of the pioneering 2006 Massachusetts health law, which required most residents to have insurance, expected it would reduce medical debt. Years later, however, even insured people are struggling to pay bills from hospitals and doctors. The most recent data suggest the scope of medical debt has remained largely unchanged. Temporary lapses in insurance and increasingly common plans with high deductibles and copayments have led to debt for some. Rising health costs and the recession also likely played a role.
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