This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (11)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Kevin Grumbach, MD; Thomas Bodenheimer, MD, MPH

JAMA. 1995;273(2):160-167.

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

Frank Hope has walked with a limp since his attack of polio in the 1940s. When he watches his daughter run after her young toddler, he experiences a sense of gratitude that the era of vaccinations has protected his child and grandchild from such a disabling infection. He recalls the sense of excitement that gripped the nation as the Salk polio vaccine was first tested and then adopted into widespread use. In Frank's mind, these types of scientific breakthroughs attest to the wonders of the US health care system.

Frank's grandson attends a day-care program. Ruby, a 2-year-old girl in his program, was recently hospitalized for a severe case of measles complicated by pneumonia. She spent 2 weeks in a pediatric intensive care unit, including several days on a respirator. She had not received her measles immunization, normally scheduled for 15 months of age. Ruby's mother works full-time as a . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Family and Community Medicine (Drs Grumbach and Bodenheimer) and the Institute for Health Policy Studies (Dr Grumbach), University of California, San Francisco.

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West).

Corresponding author: Kevin Grumbach, MD, Primary Care Research Center, UCSF Box 1364, San Francisco, CA 94143-1364.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?