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Nicole Lurie, MD, MSPH

JAMA. 2000;284:2112-2114.

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

Continued increases in the numbers of uninsured US citizens, increasing premiums for those who are insured, and the debate over prescription drug coverage all have served to thrust the issue of access to health care on the national radar screen once again. Since the goal of universal health insurance seems less and less likely to be realized in the near future, much of the discussion has focused on the so-called safety net, which is the loosely knit health system that cares for those outside the traditional health care marketplace, who are primarily poor and uninsured. The mere existence of the safety net, let alone our nation's dependence on it, is evidence that the market does not distribute health care in a socially equitable manner. This often ad hoc (and unheralded) system is expected to provide access to care in geographically underserved areas and to address other . . . [Full Text of this Article]

Author Affiliation: US Department of Health and Human Services, Washington, DC.

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