We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

Medicaid Eligibility, Prenatal Care, and the Outcome of Pregnancy

Mark G. Jameson, MD, MPH
JAMA. 1991;265(8):974. doi:10.1001/jama.1991.03460080044014.
Text Size: A A A
Published online


To the Editor.—  The recent excellent article by Piper et al1 documents the absence of improvements in use of early prenatal care, birth weight, or neonatal mortality with expanded Medicaid eligibility in Tennessee. This study and an accompanying editorial by Guyer2 describe a variety of reasons for the lack of health status improvement with the removal of financial barriers to obtaining prenatal care.The results are actually not surprising, but clearly illustrate that policy-makers in government, public health, and medicine have overlooked a vital risk factor for low birth weight and neonatal morbidity and mortality: voluntary, deleterious maternal behavior. Indeed, behaviors such as cigarette smoking, alcohol consumption, illicit drug use, "junk food" nutrition, obesity, and adolescent pregnancy all affect the newborn's health. No amount of openended or expanded Medicaid funding can correct this.The data demonstrate that we have reached the point of diminishing returns, with funding directed


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.