The Health Care Safety Net in a Post-Reform World examines how
national health care reform will impact safety net programs that
serve low-income and uninsured patients. The "safety net" refers to
the collection of hospitals, clinics, and doctors who treat
disadvantaged people, including those without insurance, regardless
of their ability to pay. Despite comprehensive national health care
reform, over twenty million people will remain uninsured. And many
of those who obtain insurance from reform will continue to face
shortages of providers in their communities willing or able to
serve them. As the demand for care grows with expanded insurance,
so will the pressure on an overstretched safety net. This book,
with contributions from leading health care scholars, is the first
comprehensive assessment of the safety net in over a decade. Rather
than view health insurance and the health care safety net as
alternatives to each other, it examines their potential to be
complementary aspects of a broader effort to achieve equity and
quality in health care access. It also considers whether the safety
net can be improved and strengthened to a level that can provide
truly universal access, both through expanded insurance and the
creation of a well-integrated and reasonably supported network of
direct health care access for the uninsured. Seeing safety net
institutions as key components of post-health care reform in the
United States-as opposed to stop-gap measures or as part of the
problem-is a bold idea. And as presented in this volume, it is an
idea whose time has come.
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