In April 2006, the Commonwealth of Massachusetts adopted universal health care. Every citizen of the Commonwealth was required to acquire some form of healthcare. Companies with eleven or more people also had to purchase health care for their employees. This gives people many healthcare options, while still requiring them to have healthcare. Massachusetts has successfully used this system for the past four years, but not without problems. There is a serious shortage of primary care doctors. Although many of those who were uninsured before the plan was approved have now obtained health care, they cannot find a primary care doctor. This has caused a large influx of people using the emergency room for basic care rather than seeing a doctor more appropriate to the situation. In fact, Massachusetts' health care program was supposed to prevent the use of emergency rooms for non-emergency situations. Insurance is also still very expensive; the need for everyone to have insurance has not lowered the price of health care. It is also not a priority for many who live in the Commonwealth. Those who prefer to pay taxes don't end up purchasing insurance. The Commonwealth of Massachusetts' mandatory health care system makes insurance more readily available to citizens, but it does not create a more affordable or useful health care system. The Commonwealth of Massachusetts has a revolutionary health care system, but it needs to create more doctors, better affordability, and encourage more people to participate in the health care plan. The Commonwealth of Massachusetts's compulsory health care system makes health care mandatory for all its inhabitants, but it cannot provide the first... half of the paper... to fix before it can spread to larger, more populous states. Many of these problems add to each other. For example, health care costs would decrease if more primary care physicians were available for patient visits, and thus more people would sign up for health care because the costs would be lower than existing taxes. While solutions to these problems will increase the number of people signing up for healthcare, nothing will convince everyone that this is necessary. Therefore, people need to be constantly educated, at a young age, so that they assume that healthcare is mandatory. The Commonwealth of Massachusetts' health plan has one very important aspect that needs to be copied throughout the union: It requires health care for all its inhabitants and that all decently sized businesses provide health care to their employees.