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Letters |

Caring for the Uninsured and Underinsured

Gerald H. Holman, MD
JAMA. 1991;265(19):2480-2481. doi:10.1001/jama.1991.03460190056010.
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ABSTRACT

To the Editor.—  The availability and affordability of health care is no longer only a medical concern. Our great state of Texas has one of the highest percentages of uninsured and underinsured citizens in the United States.Recognizing this problem as it applies to the State of Texas, the Texas Medical Association (TMA), in response to its House of Delegates, in 1990 began a study bringing together a statewide coalition with representation from businesses, consumers, hospital administrators, insurers, legislators, physicians, and trial lawyers. We successfully developed a consensus for a plan that will begin to address the spiraling premium costs, decreased availability of health insurance, and lack of access to health care for more than 2.3 million uninsured Texans whose incomes are less than 200% of the poverty level. This plan will also address some of the issues experienced by the underinsured.The consensus document, "Insuring the Uninsured: A Plan

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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.
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