The Health Care Safety Net in a Post-Reform World
The Health Care Safety Net in a Post-Reform World
The Health Care Safety Net in a Post-Reform World examines how national health care reform will impact safety net programs that serve low-income and uninsured patients. The “safety net” refers to the collection of hospitals, clinics, and doctors who treat disadvantaged people, including those without insurance, regardless of their ability to pay. Despite comprehensive national health care reform, over twenty million people will remain uninsured. And many of those who obtain insurance from reform will continue to face shortages of providers in their communities willing or able to serve them. As the demand for care grows with expanded insurance, so will the pressure on an overstretched safety net.
This book, with contributions from leading health care scholars, is the first comprehensive assessment of the safety net in over a decade. Rather than view health insurance and the health care safety net as alternatives to each other, it examines their potential to be complementary aspects of a broader effort to achieve equity and quality in health care access. It also considers whether the safety net can be improved and strengthened to a level that can provide truly universal access, both through expanded insurance and the creation of a well-integrated and reasonably supported network of direct health care access for the uninsured.
Seeing safety net institutions as key components of post-health care reform in the United States—as opposed to stop-gap measures or as part of the problem—is a bold idea. And as presented in this volume, it is an idea whose time has come.
This is a really important, well-organized, and timely book by some of the best thinkers on the subject. It would be hard to gather a more knowledgeable group on this topic.
A comprehensive must-read for those who truly want to understand the US health care system. Hall and Rosenbaum dissect the hodge-podge of US safety net providers and complex financing in the only high-income country in the world that does not provide universal coverage to its citizens.'
Given the current debate on health care policies in the US, this volume is both timely and informative. It is also very accessible to readers without a background in the health care industry. Highly recommended.
The Health Care Safety Net in a Post-Reform World provides food for thought for policy makers and providers striving to understand and strengthen the safety net's post-reform role.
This is a really important, well-organized, and timely book by some of the best thinkers on the subject. It would be hard to gather a more knowledgeable group on this topic.
A comprehensive must-read for those who truly want to understand the US health care system. Hall and Rosenbaum dissect the hodge-podge of US safety net providers and complex financing in the only high-income country in the world that does not provide universal coverage to its citizens.'
Given the current debate on health care policies in the US, this volume is both timely and informative. It is also very accessible to readers without a background in the health care industry. Highly recommended.
The Health Care Safety Net in a Post-Reform World provides food for thought for policy makers and providers striving to understand and strengthen the safety net's post-reform role.
MARK A. HALL is the Fred D. and Elizabeth L. Turnage Professor of Law and Public Health at Wake Forest University. He is the author or editor of numerous books, including Making Medical Spending Decisions and Health Care Law and Ethics.
SARA ROSENBAUM is the Harold and Jane Hirsh Professor and founding chair of the department of health policy at the George Washington University School of Public Health and Health Services. An author of more than 350 articles, studies, and health policy reports, she is also a coauthor of Law and the American Health Care System.
MARK A. HALL and SARA ROSENBAUM each contributed chapters to Medical Professionalism in the New Information Age, edited by David J. Rothman and David Blumenthal (Rutgers University Press).
List of Tables
1. The Health Care Safety Net in the Context of National Health Insurance Reform
Part I
2. Dr. StrangeRove; or, How Conservatives Learned to Stop Worrying and Love Community Health Centers
3. Reinventing a Classic: Community Health Centers and the Newly Insured
4. Applying Lessons from Social Psychology to Repair the Health Care Safety Net for Undocumented Immigrants
5. Community Health Center and Academic Medical Partnerships to Expand and Improve Primary Care
6. Examining the Structure and Sustainability of Health Care Safety-Net Services
Part II
7. Safety-Net Hospitals at the Crossroads: Whither Medicaid DSH?
8. The Safety-Net Role of Public Hospitals and Academic Medical Centers: Past, Present, and Future
9. The Declining Public Hospital Sector
Part III
10. Achieving Universal Access through Safety-Net Coverage
11. Public Coverage Expansions and Private Health Insurance Crowd-Out: Implications for Safety Nets
About the Contributors
Index
Global Health for All
Knowledge, Politics, and Practices
Edited by Jean-Paul Gaudillière, Andrew McDowell, Claudia Lang, and Claire Beaudevin
Practice Under Pressure
Primary Care Physicians and Their Medicine in the Twenty-first Century
By Timothy Hoff
