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June 3, 1988, Vol 259, No. 21 >
ARTICLE | June 3, 1988

National Initiatives for Care of the Medically Needy FREE

James E. Davis, MD
[+] Author Affiliations

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JAMA. 1988;259(21):3171-3173. doi:10.1001/jama.1988.03720210061031
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References

THE PROVISION of medical care to the underserved, the underprivileged, and the financially needy is a compelling concern of medicine, perhaps the most perplexing problem that confronts the medical profession today.1 The need to ensure access to care for all those in need has been exacerbated by the economy, a competitive health care environment, and an escalating national debt. The potential bankruptcy of the Medicare Hospital Trust Fund, with commensurate cuts in reimbursement for services, has contributed to the increasing number of people who cannot obtain preventive and acute care services. This is in an era in which American medicine sets the standard for health care in the world.2 Organized medicine is meeting this challenge to provide care for the medically poor.

Historical Perspectives  Historically, care of the poor was the responsibility of charitable institutions. Early in this century the report by Flexner,3 commissioned by the American

REFERENCES

1 +
Nutter DO:  Medical indigency and public health care crisis: Need for definitive solutions. N Engl J Med 1987;;316:1156-1158.
2 +
Harrison L: Rogers Address of the President, AMA House of Delegates (I-85) . Chicago, American Medical Association, 1985;.
3 +
Flexner A: Medical Education in the US and Canada . Boston, Merriman Press, 1910;.
4 +
Brandt EN:  Indigent health care: A continuing dilemma. Tex Med 1987;;83:27-31.
5 +
Yancey AG Sr:  The challenge of providing health care for the poor: Public hospital perspective. J Natl Med Assoc 1987;;79:107-111.
6 +
Updated Report on Access to Medical Care for the American People: Special Report . Princeton, NJ, Robert Wood Johnson Foundation, 1961;.
7 +
Fitzhugh M:  Rethinking public ambulatory care in America. N Engl J Med 1987;;316:544-546.
8 +
Rogers DE, Blendon RJ, Moloney TW:  Who needs Medicaid? N Engl J Med 1982;;307:13-18.
9 +
Mechanic D:  Health care for the poor: Some policy alternatives. J Fam Pract 1986;;3:283-289.
10 +
Clakins DR:  Assuring access in a changing health care system. Bull NY Acad Med 1987;;63:93-102.
11 +
Wilensky GR, Berk ML:  Health care, the poor, and the role of Medicaid. Health Aff 1985;;4:91-98.
12 +
Health, United States . Dept of Health and Human Services, 1983;.
13 +
Fuchs VR:  Counterevaluation in health care financing. N Engl J Med 1987;;316:1154-1156.
14 +
Melstein S:  The uninsured and the financing of uncompensated care: A scope, costs, and policy options. Inquiry 1984;;3:214-229.
15 +
Reinhardt UE:  How to finance our changing health care system. Bull NY Acad Med 1987;;63:7-19.
16 +
Perloff JD, Kelitke PR, Neckerman KM:  Physician decisions to limit Medicaid participation: Determinants and policy implications. J Health Polit Policy Law 1987;;12:221-235.
17 +
McManus M:  National estimates of uninsured children. AAP Child Financ Rep 1986;;3:1-4.
18 +
Board of Trustees Report G: Access to and Quality of Rural Health Care (A-87) . Chicago, American Medical Association, p 276.
19 +
Kasper JD:  Importance of type of usual source of care for children's physician access and expenditures. Med Care 1987;;25:386-398.
20 +
Conn JK:  Primary care programs for the indigent. J Fla Med Assoc 1987;;74:120-124.
21 +
Begley CE, Hardy LD:  The Texas indigent health care initiative: Overview and issues. Tex Med 1987;;83:64-69.
22 +
Bristow LR:  Uncompensated care. JAMA 1986;;255:796.
23 +
Resolution 122 of the AMA House of Delegates (A-85) . Chicago, American Medical Association, 1985;.
24 +
Substitute Resolution 182 of the AMA House of Delegates (A-87) . Chicago, American Medical Association, 1987;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

1 +
Nutter DO:  Medical indigency and public health care crisis: Need for definitive solutions. N Engl J Med 1987;;316:1156-1158.
2 +
Harrison L: Rogers Address of the President, AMA House of Delegates (I-85) . Chicago, American Medical Association, 1985;.
3 +
Flexner A: Medical Education in the US and Canada . Boston, Merriman Press, 1910;.
4 +
Brandt EN:  Indigent health care: A continuing dilemma. Tex Med 1987;;83:27-31.
5 +
Yancey AG Sr:  The challenge of providing health care for the poor: Public hospital perspective. J Natl Med Assoc 1987;;79:107-111.
6 +
Updated Report on Access to Medical Care for the American People: Special Report . Princeton, NJ, Robert Wood Johnson Foundation, 1961;.
7 +
Fitzhugh M:  Rethinking public ambulatory care in America. N Engl J Med 1987;;316:544-546.
8 +
Rogers DE, Blendon RJ, Moloney TW:  Who needs Medicaid? N Engl J Med 1982;;307:13-18.
9 +
Mechanic D:  Health care for the poor: Some policy alternatives. J Fam Pract 1986;;3:283-289.
10 +
Clakins DR:  Assuring access in a changing health care system. Bull NY Acad Med 1987;;63:93-102.
11 +
Wilensky GR, Berk ML:  Health care, the poor, and the role of Medicaid. Health Aff 1985;;4:91-98.
12 +
Health, United States . Dept of Health and Human Services, 1983;.
13 +
Fuchs VR:  Counterevaluation in health care financing. N Engl J Med 1987;;316:1154-1156.
14 +
Melstein S:  The uninsured and the financing of uncompensated care: A scope, costs, and policy options. Inquiry 1984;;3:214-229.
15 +
Reinhardt UE:  How to finance our changing health care system. Bull NY Acad Med 1987;;63:7-19.
16 +
Perloff JD, Kelitke PR, Neckerman KM:  Physician decisions to limit Medicaid participation: Determinants and policy implications. J Health Polit Policy Law 1987;;12:221-235.
17 +
McManus M:  National estimates of uninsured children. AAP Child Financ Rep 1986;;3:1-4.
18 +
Board of Trustees Report G: Access to and Quality of Rural Health Care (A-87) . Chicago, American Medical Association, p 276.
19 +
Kasper JD:  Importance of type of usual source of care for children's physician access and expenditures. Med Care 1987;;25:386-398.
20 +
Conn JK:  Primary care programs for the indigent. J Fla Med Assoc 1987;;74:120-124.
21 +
Begley CE, Hardy LD:  The Texas indigent health care initiative: Overview and issues. Tex Med 1987;;83:64-69.
22 +
Bristow LR:  Uncompensated care. JAMA 1986;;255:796.
23 +
Resolution 122 of the AMA House of Delegates (A-85) . Chicago, American Medical Association, 1985;.
24 +
Substitute Resolution 182 of the AMA House of Delegates (A-87) . Chicago, American Medical Association, 1987;.

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