| hope in federalism? what can the states do and what are they likely to do? | although erisa is a barrier to state health care reform, its hurdle is not as formidable as the financial and political constraints that state governments face. as the states themselves confess, they cannot solve this problem alone (national governors association 1993); but if they must, they will focus on the incremental, "low-cost" reform options--insurance reforms and medicaid managed care. connecticut representative courtney perhaps summarized state sentiment best: "maybe we shouldn't be usi ... | 1995 | 7636139 |