Poor Families in America's Health Care Crisis examines the
implications of the fragmented and two-tiered health insurance
system in the United States for the health care access of
low-income families. For a large fraction of Americans their jobs
do not provide health insurance or other benefits and although
government programs are available for children, adults without
private health care coverage have few options. Detailed
ethnographic and survey data from selected low-income neighborhoods
in Boston, Chicago, and San Antonio document the lapses in medical
coverage that poor families experience and reveal the extent of
untreated medical conditions, delayed treatment, medical
indebtedness, and irregular health care that women and children
suffer as a result. Extensive poverty, the increasing proportion of
minority households, and the growing dependence on insecure service
sector work all influence access to health care for families at the
economic margin.
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