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Article: Urban Health Care in Transition: Challenges Facing Los Angeles County.(Statistical Data Included)
- Article from:
- Health Care Financing Review
- Article date:
- September 22, 1998
- Author:
CopyrightCOPYRIGHT 1998 U.S. Department of Health and Human Services. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan. All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)
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INTRODUCTION
Over the last decade there has been significant restructuring of the U.S. health care system. Although the forces bringing about these changes are affecting all providers, the pressure on public providers may be greatest (Baxter and Mechanic, 1997). Public providers not only need to develop strategies to live with managed care and reduced public funding of health care, they also need to continue to provide care to those without health insurance who simply cannot afford to pay. This task is made all the more difficult by the fact that the revenue needed to cross-subsidize care to the poor is eroding, while the population without health insurance is ...