The Scope of Development of the Indigent Health Care Problem

With the size of the American existence approximately 250 million (Bureau of the Census, 1991), the 12 percent without formal health heraldic bearing amends translates into approximately 30 million people.

Medicaid must also be prep ared to deal with the approximately 30 million persons who are without any formal health care insurance coverage, and are not in a financial position to fund such serve as required. The work poor without health care insurance tend to hedge medical consultation and treatment, to avoid incurring exists they cannot afford. As a consequence, when they do receive health care function, those services are typically more extensive and more dear(p) than would have been the case, had consultation and treatment been sought earlier. The higher court of these deferred services often results in charges to the Medicaid program.

Funding the delivery of health care services for the indigent is an issue of concern to all, because the delivered services are eventually paid for by about(a)one. In whatsoever cases, state and national welfare programs eventually pay for some of the services. In many instances, notforprofit hospitals particularly county and municipal hospitalsabsorb many of the costs. Lastly, third party fundershealth insurance companies and employersand individuals and families funding their own health care pay for some of the services delivered to the running(a) poor throug

Rosen, S. M., Fanshel, D., & Lutz, M. E. (Eds.). (1991). Face of the nation: Statistical supplement to encyclopedia of accessible work, 23rd Edition. Silver Spring, Maryland: National Association of social Workers.

Third party funders include government, health insurance companies, and employers.

The federal official government under the Reagan Administration previously and under the scrub Administration today generally refuses to recognize any federal responsibility for the funding of health care services for the working poor. The Bush Administration further refuses to recognize any responsibility, while, at the same time, altering poverty criteria so that the numbers of officially indigent persons in the country increases.

h the process of cost shifting by health care providers. Thus, whether the fact is accept or not, health care services for the indigent are being funded at present by all parties. The real(a) question is not whether such services should be funded by other than the recipients, but, rather, how they should be funded to (1) provide equity in funding, (2) optimal costs, and (3) quality care.

Bureau of the Census. (1991). Census summary of the 1990 census. Washington: U.S. administration Printing Office.

Warner, D. (1991, April
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