For decades, the American system of health care has relied primarily on employer-sponsored insurance programs as a gateway through which individual's access health care services. Gaps have been filled in through public insurance programs - such as Medicare, Medicaid, the State Children's Health Insurance Program (SCHIP) and other more locally-based programs - to cover elderly, disabled and certain low income populations who cannot access the employer-based market. In addition, the government (federal, state and local) provides certain limited subsidies (e.g., tax deductions for the self-employed) for individuals to purchase insurance policies in the private market

Some common words found in the essay are:
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Approximate Word count = 486
Approximate Pages = 2 (250 words per page double spaced)