Children without Insurance 1/3 Most breadwinners employed Medicaid issues Receive less care
Social Policy Targeted services Employer-sponsored insurance Public programs Universal Coverage
Non-Economic Issues Race/Ethnicity Resources Other issues
Other Access Issues… % of low-income patients with “access” problem who reported type of reason Reason or problem6-mos- 17 yrs 18-64 yrs All ages Not up to going22.214.171.124 Problems with child care32.814.318.2 Too nervous or afraid10.233.828.6 Not sure provider would understand needs 126.96.36.199 Unable to get free time to get care 188.8.131.52 Had to wait too long to get an appointment 20.320.4
Case Study You are the governor of a midsize industrial state. You have just studied this material and have decided you want to take on the “health reform/health care access” issue. How would you proceed? How would you staff the effort? Who are the stakeholders? How would you obtain input from stakeholders? How would you limit inappropriate influence by stakeholders? What is the likely nature of the problem in your state? What are the realistic range of solutions/reforms that might be considered? What is the likelihood of meaningful reform?