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A Shared Destiny: Community Effects of Uninsurance

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Overview

A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community’s economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.
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Product Details

  • ISBN-13: 9780309087261
  • Publisher: National Academies Press
  • Publication date: 3/6/2003
  • Series: Insuring Health Series
  • Pages: 296

Table of Contents

Executive Summary 1
1 Introduction 15
2 Context for Community Effects: Uninsurance and the Financing and Delivery of Health Services 34
3 Community Effects on Access to Care 82
4 Economic and Social Implications of Uninsurance within Communities 120
5 Community Health and Uninsurance 138
6 Summary: Conclusions and Research Agenda 164
App. A Conceptual Framework for Assessing the Consequences of Uninsurance for Communities 175
App. B Geographic Differences in Uninsured Rates 180
App. C: Data Tables 189
App. D: Commissioned Papers 203
App. E: Glossary 236
App. F: Biographical Sketches 242
References 254
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