TY - JOUR T1 - ENough, already AU - Stillman MD Y1 - 2012/12/12 N1 - 10.1001/jama.2012.14475 JO - JAMA SP - 2347 EP - 2348 VL - 308 IS - 22 N2 - Since 2006 when then-governor Mitt Romney signed into law a virtual twin of the Affordable Care Act, only around 5% of Massachusetts' population lacks health insurance. In my Louisville clinic, however, 60% of the patients are uninsured, and they represent the full spectrum of ethnicity, age, wellness, and employment status. While our hospital offers uninsured patients reduced-cost office visits, access to inexpensive generic prescriptions, and sliding-scale charges for laboratory testing, they pay full price for imaging studies, certain preventive vaccinations, and diagnostic tests, including cardiac stress tests and sleep studies. They receive only the care they are able to pay for themselves and lack reassurance that their next minor illness won't destroy them financially. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.14475 UR - http://dx.doi.org/10.1001/jama.2012.14475 ER -