This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Medical Practice  • Caring for the Uninsured and Underinsured  • Law and Medicine  • Medical Practice, Other  • Pediatrics, Other  • Immunization  • Alert me on articles by topic  Social Bookmarking   What's this?

Implications for Pediatric Health Reform

John D. Lantos, MD

Arch Pediatr Adolesc Med. 2008;162(10):912-914.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A central feature of health care financing in the United States is that we spend far more per capita on health care than any other country. We nevertheless leave millions of citizens uninsured. Critics on the political left and right offer different solutions, none of which have garnered sufficient support to lead to structural change. Our curious, uniquely inegalitarian system seems to represent the least unacceptable compromise we can develop among deeply conflicting cultural and political values.

One value conflict that plays out repeatedly in debates about child health care focuses on the need to define and separate the "deserving poor" or the "truly needy" from the "free riders" who might take advantage of government-sponsored health care even though they do not really need it. The effort to separate these groups adds expensive layers of bureaucratic complexity, nonproductive administrative costs, and duplicative systems of care.

In . . . [Full Text of this Article]

THE NATIONAL VACCINE INITIATIVE OF 1993


THE CREATION OF SCHIP

EXPANSION OF FEDERALLY QUALIFIED HEALTH CENTERS

SCHIP EXPANSION PROPOSALS IN 2007

PUBLIC PROGRAMS, PRIVATE PROGRAMS, AND "CROWD OUT"

CAN WE BUILD A JUST 2-TIERED SYSTEM?

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

This Month in Archives of Pediatrics & Adolescent Medicine
Arch Pediatr Adolesc Med. 2008;162(10):910.
FULL TEXT