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265 Figures in the text are designated by f; tables by a t. Index ACA. See Patient Protection and Affordable Care Act academic medical centers (AMCs), 14, 122, 184; ambulatory-training sites, 113; and federally qualified health centers, 116; and health care reform, 190–196, 192t; safety-net role of, 183, 184–185; sources of support for, 186 access gap, and crowd-out estimates, 250 access metrics: benchmarks, 223–226; national surveys, 225, 227, 228t; in safety-net care, 15–16; studies, 226–229, 228t access to care: affordable, 221; continuing problem of, 110–111; deficiencies in, 224; expanded health insurance coverage and, 5; impact of community-based training on, 121; international benchmark for, 230; local political economy of, 25; local programs, 136, 137; types of, 224 accountable-care organizations (ACOs), 122; community-oriented, 86; development of, 195, 196; introduction of, 82 accounting: creative, 158–159; politics of, 153 ACOs. See accountable-care organizations “activist MDs,” 33 adult medicine, at health centers, 83–84. See also chronic disease management advocates, health center, 30 affordability: gauging, 7; testing, 3 African Americans, uninsured among, 186 Aid to Families with Dependent Children population, HMO for, 188 Aizer, A., 244t Alabama, DSH expenditures of, 164t Alaska, DSH expenditures of, 164t Altman, S., 184 “altruistic opportunism,” 141 AMA. See American Medical Association ambulatory settings, and hospital costs, 174–175 Ambulatory Training Act, proposed, 115 AMCs. See academic medical centers American College of Physicians, 131 American Hospital Association (AHA): and cuts in Medicaid DSH, 154; and DSH cuts, 172; survey data of, 201, 204 American Medical Association (AMA), 32; and community health centers, 33; and health centers program, 37–38, 41–42 American medicine, worldview of, 93–94 American Reinvestment and Recovery Act (ARRA) (2009), 78, 108, 114 Americans with Disabilities Act (ADA) (1990), 44 AmeriCorps, 119 “Anti-Dumping Act,” 96 antipoverty programs, 27; health care in, 28 Arizona: DSH expenditures of, 165t; immigrant access to public benefits in, 98 Arizona Taxpayer and Citizen Protection Act (2004), 98 Arkansas: DSH expenditures of, 165t; Medicaid program in, 179n3 ARRA. See American Reinvestment and Recovery Act “asset deployment,” 52 Association of Academic Health Centers (AAHC), 116 Association of American Medical Colleges (AAMC), 41–42, 196 Balanced Budget Act (BBA) (1997), 97, 186 Banthin, J. S., 245t, 247, 250 Barbour, Gov. Haley, 57 Bazzoli, Gloria J., 14, 185, 261 Bill O’Reilly Show (TV), 50 266 Index black neighborhoods, and primary care, 26. See also African Americans block grants: and DSH, 157; General Assistance Medicaid Program, 207; for health centers program, 42–43; and Nixon administration, 35 Blumberg, L., 244t, 247 Bolivar County, Miss., Delta Health Center in, 28 Boston, Mass., access to care in, 227; Columbia Point health center in, 28 Boston City Hospital, 207 Boston University Medical Center, 207 Bradley, Sen. Bill, 50 Buchmueller, T. C., 237, 238, 245t Bureau of Comprehensive Health Services, HEW, 36, 41 Bush, Pres. George H. W., 43–45 Bush, George H. W., administration: DSH funding during, 176, 177; and DSH politics, 156, 157, 158–161, 162; and Medicare’s payment rates, 80 Bush, Pres. George W., 49–50, 91, 104–105; electoral goals of, 51–52; health centers initiative of, 9; long-term policy goals of, 53–55; 2000 campaign of, 50–51 Bush, George W., administration, 10; appropriations to CHC program in, 114; domestic politics of, 52; and DSH politics, 155; health centers initiative of, 22–23, 24, 49–55; health centers supported by, 24; long-term policy goals of, 53–55; and Medicaid DSH, 154; tax cuts of, 54 business cycles: and crowd-out estimates, 249; Medicaid expansion in, 247; and private insurance, 251; and public program expansions, 239 Calhoun, Judith G., 261 California: county programs for uninsured in, 190; DSH expenditures of, 164t; Medicaid in, 159, 175; Medicaid waiver of, 88n28; Proposition 187 in, 100–101, 106n15 Cambridge Health Alliance, 208 Cambridge Hospital, Cambridge, Mass., 208 Canada: attitudes toward immigrants in, 103; health insurance of, 223; primary and preventive care in, 226 Card, D., 238, 245t Carter, Pres. Jimmy, 44, 48 Carter administration: expansion of rural centers during, 29; and health centers program, 39–40 Centers for Medicare and Medicaid Services (CMS), 195; on DSH and Medicaid, 160; medical-home demonstration of, 82. See also Health Care Financing Administration Chafee, Sen. John, 43, 44 CHAMP. See Community Health Center and Academic Partnership charity care: decline in, 56; of hospitals, 25; traditional, 21. See also safety net CHCs. See community health centers Chen, H. F., 185 child health programs...

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Additional Information

ISBN
9780813553177
Related ISBN
9780813553061
MARC Record
OCLC
809977367
Pages
296
Launched on MUSE
2012-11-02
Language
English
Open Access
No
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