The Future U.S. Healthcare System: Who Will Care for the Poor and Uninsured?
The book is organized in five sections. Part I presents the problem and includes a chapter asking if the medically uninsured will always be with us. Part II describes the traditional safety net, which includes health centers, public hospitals, and academic health centers and the strains these organizations are currently experiencing as they are buffeted in a rapidly changing marketplace. Part III explores the changes in hospital ownership, including both investor-owned and not-for-profit organizations. Part IV, in exploring current options for solutions, emphasizes incrementalism. This section includes chapters that present both the positive and the negative features of the increasing state role in addressing the problem. Part V explores more comprehensive solutions, concluding with a philosophical and ethical case for universal health insurance coverage. (Joel J. Alpert)
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