In this Book

summary

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.

 

Table of Contents

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  1. Title Page, Copyright
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  1. Contents
  2. pp. vii-viii
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  1. Figures
  2. p. ix
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  1. Tables
  2. p. xi
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  1. Chapter 1 The Health Care Safety Net in the Context of National Health Insurance Reform
  2. pp. 1-17
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  1. Part I Community Health Centers
  1. Chapter 2 Dr. StrangeRove; or, How Conservatives Learned to Stop Worrying and Love Community Health Centers
  2. pp. 21-66
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  1. Chapter 3 Reinventing a Classic: Community Health Centers and the Newly Insured
  2. pp. 67-90
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  1. Chapter 4 Applying Lessons from Social Psychology to Repair the Health Care Safety Net for Undocumented Immigrants
  2. pp. 91-107
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  1. Chapter 5 Community Health Center and Academic Medical Partnerships to Expand and Improve Primary Care
  2. pp. 108-125
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  1. Chapter 6 Examining the Structure and Sustainability of Health Care Safety-Net Services
  2. pp. 126-150
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  1. Part II Safety-Net Hospitals
  1. Chapter 7 Safety-Net Hospitals at the Crossroads: Whither Medicaid DSH?
  2. pp. 153-182
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  1. Chapter 8 The Safety-Net Role of Public Hospitals and Academic Medical Centers: Past, Present, and Future
  2. pp. 183-199
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  1. Chapter 9 The Declining Public Hospital Sector
  2. pp. 200-213
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  1. Part III Safety-Net Systems
  1. Chapter 10 Achieving Universal Access through Safety-Net Coverage
  2. pp. 217-233
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  1. Chapter 11 Public Coverage Expansions and Private Health Insurance Crowd-Out: Implications for Safety Nets
  2. pp. 234-259
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  1. About the Contributors
  2. pp. 261-264
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  1. Index
  2. pp. 265-280
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