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Paid Family Leave for Parents of Chronically Ill Children
John M. Neff, MD
JAMA. 2008;300(9):1080-1081.
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Parents of chronically ill children face unusual challenges in the current US health care system. The system is an odd mix of public and private insurance. Children are covered either through their parents' employment-based insurance or through public insurance programs (Medicaid) that require meeting some type of financial means test. There is little health insurance support other than Medicaid for those individuals who lack insurance as a result of partial employment or for those who have employment-based insurance that provides inadequate coverage for the employed individual or family members.1
Children with special health care needs are defined as "those children who have or are at increased risk for a chronic physical, developmental, behavioral or emotional condition who also require health and related services of a type and amount beyond that required by children generally."2 Methods using this definition to identify chronically ill children estimate that 15% . . . [Full Text of this Article]
Author Affiliations: Center for Children with Special Needs, Children's Hospital and Regional Medical Center, and Department of Pediatrics and University of Washington School of Medicine, Seattle.
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