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Correspondence
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Volume 339:1644-1645 November 26, 1998 Number 22
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Cost as a Barrier to Medical Care in Relation to Unemployment Rates

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To the Editor: There is strong evidence that people who receive medical treatment in a timely manner have improved health outcomes.1,2 Thus, delays in seeking medical care because of concern about cost can have serious effects. This consideration was prominent in the debate on health care reform in the early 1990s but received much less publicity once the national effort to reform health care failed.

We examined trends in the perception that cost is a barrier to medical care. Data from 1991 through 1996 were obtained from the 45 states (all but Arkansas, Kansas, Nevada, Rhode Island, and Wyoming) that . . . [Full Text of this Article]

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