Medical Indigency and the Public Health Care Crisis
Nutter, Daniel O.
New England Journal of Medicine. 1987 Apr 30; 316(18): 1156-1158.
Changes in the way medical care is financed in the United States have increased the problems of providing and financing care for the medically indigent. Nutter describes conditions at Chicago's Cook County Hospital to illustrate the financial and delivery burdens that have fallen upon public facilities serving a patient population without adequate health insurance. Although Chicago's public and private sectors are working together on the area's public health care problems, Nutter contends that such local efforts are not enough. He argues that health insurance for everyone is the solution to medical indigency. Until national health insurance becomes politically and economically feasible, the answer may be a comprehensive package of insurance programs funded with public and private monies. Nutter concludes his essay with an outline of five options that could be combined to provide health care for all Americans. (KIE abstract)
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