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An Emerging Crisis

Grace M. Lee, MD, MPH; Tracy A. Lieu, MD, MPH

Arch Pediatr Adolesc Med. 2009;163(5):485-487.

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

Over the past several decades, financing has emerged as a crucial element in the delivery of vaccines to US children. Until recently, an existing patchwork of financing from the public and private sectors has ensured that the vast majority of children have access to vaccines. However, recent stresses to this system have resulted in a growing crisis for both patients and providers. In this editorial, we trace the roots of this crisis, discuss its impact on patients and providers, and consider possible solutions to ensure that access to vaccines is preserved for all children.

Prior to the 1980s, children who lacked insurance for vaccines were often able to receive federal or state-purchased vaccines in public health clinics.¹ Despite this public sector safety net, many vulnerable children remained unvaccinated because of fragmentation of care. Pockets of underimmunization, particularly in low-income, inner-city . . . [Full Text of this Article]

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