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Inequitable Funding May Cause Health Care Disparities
James E. Bailey, MD, MPH;
Laura R. Sprabery, MD
Arch Intern Med. 2007;167(12):1226-1228.
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Of all the forms of inequality, injustice in health care is the most shocking and inhumane.
Martin Luther King, Jr1
A landmark Supreme Court ruling, the Civil Rights Act, and Medicare legislation in the early 1960s led to the coerced integration of American hospitals in cities with substantial minority populations.2 After 1965, hospitals had to accept both Medicare and nonpaying minority patients. As a result, hospitals in geographic areas with substantial low-income minority populations became increasingly financially disadvantaged in subsequent years. Many hospitals eventually left inner-city areas because high numbers of uninsured and underinsured patients made these hospitals economically unviable. Similarly, primary care providers and clinics have fled low-income inner-city areas for suburban areas with better payer mix and fewer minority patients. Hospitals and clinics have found that geography determines profitability. As a result, in many communities, hospital segregation has recurred . . . [Full Text of this Article]
AUTHOR INFORMATION
RELATED LETTER
Can It All Be So Simple?—Reply
Romana Hasnain-Wynia, David W. Baker, David Nerenz, Joseph M. Feinglass, Anne C. Beal, Mary Beth Landrum, Raj Behal, and Joel S. Weissman
Arch Intern Med. 2008;168(3):328-329.
EXTRACT
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RELATED ARTICLE
Disparities in Health Care Are Driven by Where Minority Patients Seek Care: Examination of the Hospital Quality Alliance Measures
Romana Hasnain-Wynia, David W. Baker, David Nerenz, Joe Feinglass, Anne C. Beal, Mary Beth Landrum, Raj Behal, and Joel S. Weissman
Arch Intern Med. 2007;167(12):1233-1239.
ABSTRACT
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Evaluating Interventions To Reduce Health Care Disparities: An RWJF Program
Schlotthauer et al.
Health Aff (Millwood) 2008;27:568-573.
ABSTRACT
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Can It All Be So Simple?--Reply
Hasnain-Wynia et al.
Arch Intern Med 2008;168:328-329.
FULL TEXT
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