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Volume 358:327-329 January 24, 2008 Number 4
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Golden Gate to Health Care for All? San Francisco's New Universal-Access Program
Mitchell H. Katz, M.D.

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Impatient with the lack of progress at federal and state levels in reducing the number of uninsured Americans, many counties across the United States are seeking their own solutions to the health care crisis. Unfortunately, local efforts to achieve universal coverage often encounter substantial obstacles, including the high cost of insurance plans, the loss of federal and state revenues that benefit the uninsured, and limited authority to mandate insurance coverage.

To broaden access while avoiding these problems, the government of the City and County of San Francisco launched Healthy San Francisco (HSF) in April 2007. Building on the success of . . . [Full Text of this Article]


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Dr. Katz is the director of health, San Francisco Department of Public Health, San Francisco.




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