Medical Care for the Poor: No Magic Bullets
JAMA. 1988 Jun 10; 259(22): 3309-3311.
Ginzberg, a specialist in health policy at Columbia University, reviews the shortcomings of the present approaches to funding health care for the poor in the United States. In his view, a federal or federal-state system of health insurance providing universal coverage is a long-term goal. In the interim, efforts to improve medical care for indigents must focus on the Medicaid system and public hospitals. He recommends three initiatives: redirecting the flow of ambulatory Medicaid patients from hospital emergency rooms to private physicians; bringing the per-visit fee for these patients to a reasonable level; and using professional and governmental pressures to encourage physicians to treat more indigent patients. (KIE abstract)
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