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By Institute of Medicine, Board on Health Care Services, Committee on the Consequences of Uninsurance

"A Shared future" is the fourth in a chain of six experiences at the difficulties of uninsurance within the usa. This document examines how the standard, volume, and scope of group health and wellbeing companies will be adversely suffering from having a wide or growing to be uninsured inhabitants. It explores the overlapping monetary and organizational foundation of healthiness prone supply to uninsured and insured populations, the consequences of neighborhood uninsurance on entry to wellbeing and fitness care in the community, and the aptitude spillover results on a community's financial system and the healthiness of its electorate. The committee believes - it really is either improper and unsafe to imagine that the patience of a large uninsured inhabitants within the usa harms basically people who are uninsured.

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And Jack Needleman. 2002. The Impact of Uninsured Populations on the Availability of Hospital Services and Financial Status of Hospitals. Baltimore, MD: The Johns Hopkins Bloomberg School of Public Health. Hadley, Jack, and John Holahan. 2003. How Much Medical Care Do the Uninsured Use and Who Pays for It? Health Affairs Web Exclusive:1/W66-W81. Hartley, David, Lois Quam, and Nicole Lurie. 1994. Urban and Rural Differences in Health Insurance and Access to Care. Journal of Rural Health 10(2):98-108.

Also, if public health department funds are diverted from communicable disease control programs to support hospital services for medically indigent residents, the health of all community members is put at risk. As these scenarios illustrate, the effects of uninsurance can be wide-ranging and significant. The experiences of uninsured individuals and of families within a community influence the collective and aggregate effects of uninsurance on their community. These collective and aggregate effects are the subject of this report.

Washington, DC: The Urban Institute. Miller, Victor. 2002. The States, Medicaid, and Health Care Spending. Washington, DC: Unpublished presentation to the IOM Committee on the Consequences of Uninsurance. Millman, Michael, ed. 1993. Access to Health Care in America. Washington, DC: National Academy Press. EXECUTIVE SUMMARY 17 Mills, Robert J. 2002. Health Insurance Coverage: 2001. Current Population Reports. P60-220. S. S. Census Bureau. Needleman, Jack. 1999. For-Profit Conversions. Nonprofit to For-Profit Conversions by Hospitals, Health Insurers, and Health Plans.

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