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Birt Harvey, MD

JAMA. 1990;264(2):252-253.

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

A 2-year-old has otitis media. She is the only child of parents whose combined monthly income is $800. In Alaska this child would be eligible for care under the state Medicaid program. In Alabama she would not be eligible because her parents earn more than $120 per month.¹

A 3-year-old and a 5-year-old both have pneumonia. They live with their mother, who earns $5000 per year working part time. In New Jersey, care for the 3-year-old is available through Medicaid. This is not true of the 5-year-old sibling.¹

An infant develops acute leukemia. His family has insufficient insurance or other financial sources to pay for his care. In Arkansas this child would receive care through Children's Special Care Services, the state's crippled children's program. In Colorado no state-supported medical care would be available (S. Kessel, MD, MPH, oral communication, Feb 10, 1990).

Three 4-year-olds who live in equal . . . [Full Text PDF of this Article]

Author Affiliations
Dr Harvey is the president of the American Academy of Pediatrics, Elk Grove Village, Ill; he is also a senior fellow at the Institute for Health Policy Studies, University of California, San Francisco.

Footnotes
Reprint requests to 3885 Magnolia Dr, Palo Alto, CA 94306 (Dr Harvey).

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