Massachusetts Universal Care Plan Faces Hurdles

With the mandate that everyone in Massachusetts have health insurance taking effect on Sunday, more than 130,000 people — about a third of those who were uninsured a year ago — now have coverage, officials say.

But most of those who have signed up are poor enough to qualify for free or state-subsidized insurance.

People who must pay the full cost themselves, who are crucial to the success of the nation’s most ambitious effort to achieve near-universal coverage, may now be a majority of the state’s uninsured and not all are rushing to get coverage. Many of them are healthy young people in their 20’s and 30’s, state officials say.

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