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The new structures and standards will be necessary to implement the Medicare for All Act of 2019, which would provide universal health care to all Americans. The law was a top priority for nearly every Democratic primary candidate, in large part because of the lack of insurance that many Americans have in the private sector and the extraordinarily high costs of health insurance premiums that are currently affecting more and more people. The proposed changes would likely have quite large effects on how the health care system operates.
This article first appeared in the May 2020 issue of the journal Public Administration Review.
The new structures and standards will be necessary to implement the Medicare for All Act of 2019, which would provide universal health care to all Americans. The law was a top priority for nearly every Democratic primary candidate, in large part because of the lack of insurance that many Americans have in the private sector and the extraordinarily high costs of health insurance premiums that are currently affecting more and more people. The proposed changes would likely have quite large effects on how the health care system operates.
In contrast to the optimal leave period, the minimum leave period for which the employer must pay is a matter of state law. Some states provide for a minimum number of weeks of leave, so that the employer only needs to pay the wages of workers who take leave for that minimum number of weeks. Other states provide for a minimum number of hours of leave, so that the employer only needs to pay the wages of workers who take leave for that minimum number of hours.
The crucial question for states is how much leave to provide and at what stage in the life of the employee, if any. How much time to offer is a function of the total number of hours of leave that is taken by the employee. Some paid family leave systems offer unlimited leave for each child in a family, others for as much as 13 weeks; some states also offer additional leave for parents or other family members who need to return to work while their family member takes leave.
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