Finally, federal, state, and local programs aimed at particularly vulnerable populations should continue to be funded and strengthened, and incentives provided directly to safety-net institutions themselves to develop innovative new programs to provide access to needed services.
Maximizing individual health insurance coverage must continue to be our nation's primary goal for enfranchising the uninsured, giving them an opportunity for improved quality of care resulting from choice. In a health system with more than forty-five million people who are uninsured, we do not have the luxury of limiting our policy debate to the desirability of legislating patient protections (and otherwise imposing new regulations) on health plans for insured individuals. Unless and until universal coverage becomes politically fashionable again, it is far more important to consider how best to “regulate” the broadest possible participation of all elements of our health system in providing and financing this burden.
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Publication information: Book title: Regulating Managed Care: Theory, Practice, and Future Options. Contributors: Stuart H. Altman - Editor, Uwe E. Reinhardt - Editor, David Shactman - Editor. Publisher: Jossey-Bass. Place of publication: San Francisco. Publication year: 1999. Page number: 297.
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