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

"A Shared future" is the fourth in a sequence of six experiences at the difficulties of uninsurance within the usa. This file examines how the standard, volume, and scope of group wellbeing and fitness providers might be adversely stricken by having a wide or starting to be uninsured inhabitants. It explores the overlapping monetary and organizational foundation of health and wellbeing prone supply to uninsured and insured populations, the consequences of neighborhood uninsurance on entry to overall healthiness care in the neighborhood, and the capability spillover results on a community's economic climate and the health and wellbeing of its electorate. The committee believes - it really is either unsuitable and hazardous to imagine that the patience of a large uninsured inhabitants within the usa harms purely people who find themselves uninsured.

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Wiener. 2002. Health Policy for Low-Income People: Profiles of 13 States. Washington, DC: The Urban Institute. McAlearney, John S. 2002. The Financial Performance of Community Health Centers, 1996–1999. Health Affairs 21(2):219-225. , Mark Legnini, Emily K. Fatula, and Larry S. Stepnick. 1999. The Role of Local Governments in Financing Safety Net Hospitals: Houston, Oakland, and Miami. Occasional Paper 25. Washington, DC: The Urban Institute. Miller, Victor. 2002. The States, Medicaid, and Health Care Spending.

Ann Greiner, and Shari M. Erickson, eds. 2002. Fostering Rapid Advances in Health Care. Learning from System Demonstrations. Washington, DC: The National Academies Press. Cunningham, Peter. 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.

What is the Role of Primary Care in Emergency Department Overcrowding? Accessed June 27, 2002. pdf. Weiss, Eve, Kathryn Haslanger, and Joel C. Cantor. 2001. Accessibility of Primary Care Services in Safety Net Clinics in New York City. American Journal of Public Health 91(8):1240-1245. , and Lawrence Gostin. 2002. The Bioterrorist Threat and Access to Health Care. Science 296(5573):1613. 1 Introduction In A Shared Destiny: Community Effects of Uninsurance, the fourth report of the Institute of Medicine (IOM) Committee on the Consequences of Uninsurance, the Committee expands its focus from the adverse impacts of lack of health coverage on uninsured individuals and their families to examine the potential and likely indirect effects of the failure to insure all on their community.

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