A Shared Destiny (Insuring Health) by Institute of Medicine, Board on Health Care Services,

By Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance

"A Shared future" is the fourth in a chain of six reviews at the difficulties of uninsurance within the usa. This record examines how the standard, volume, and scope of neighborhood health and wellbeing prone may be adversely stricken by having a wide or becoming uninsured inhabitants. It explores the overlapping monetary and organizational foundation of well-being providers supply to uninsured and insured populations, the results of group uninsurance on entry to healthiness care in the neighborhood, and the capability spillover results on a community's financial system and the healthiness of its voters. The committee believes - it truly is either fallacious and unsafe to imagine that the endurance of a large uninsured inhabitants within the usa harms merely people who are uninsured.

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The Committee believes, however, that it is both mistaken and dangerous to assume that the prevalence of uninsurance in the United States harms only those who are uninsured. , 2002). Rather, the call for more research is to say that, as long as we as a nation tolerate the status quo, we should more fully understand the implications and consequences of our stalemated national health policy. REFERENCES Andersen, Ronald. 1995. Revisiting the Behavioral Model and Access to Medical Care: Does It Matter?

2002. Mounting Pressures: Physicians Serving Medicaid Patients and the Uninsured, 1997-2001. Tracking Report No. 6. Results from the Community Tracking Study. Washington, DC: Center for Studying Health System Change. Cunningham, Peter, and Ha T. Tu. 1997. A Changing Picture of Uncompensated Care. Health Affairs 14(4):167-175. , and Peter Kemper. 1998. Ability to Obtain Medical Care for the Uninsured: How Much Does It Vary Across Communities? Journal of the American Medical Association 280(10): 921-927.

Commonwealth Fund. 2001. A Shared Responsibility. Academic Health Centers and the Provision of Care to the Poor and Uninsured. New York: The Commonwealth Fund, Task Force on Academic Health Centers. Cordes, Sam M. 1998. Health Care and the Rural Economy. Forum for Applied Research and Public Policy 13(2):90-93. , Evert Van der Sluis, Charles Lamphear, and Jerry Hoffman. 1999. Rural Hospitals and the Local Economy: A Needed Extension and Refinement of Existing Empirical Research. Journal of Rural Health 15(2):189-201.

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