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Volume 360:2598-2601 June 18, 2009 Number 25
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Rescuing the Safety Net
Michael Spivey, J.D., and Arthur L. Kellermann, M.D., M.P.H.

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As the recession deepens, layoffs are swelling the ranks of the uninsured. Despite federal stimulus support for state Medicaid programs, some cash-strapped states have cut Medicaid payments, and others are considering such cuts. As a result, many hospitals that treat large numbers of uninsured patients are struggling to survive.

In 2006, well before the recession began, U.S. hospitals provided more than $28.8 billion worth of uncompensated care1 a burden that fell more heavily on some hospitals than on others. Hospitals that provide a large proportion of their inpatient care to the uninsured are called "safety-net" hospitals. Public safety-net hospitals . . . [Full Text of this Article]


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Mr. Spivey is a principal at Spivey/Harris Health Policy Group, Washington, DC. Dr. Kellermann is a professor of emergency medicine and associate dean at Emory University School of Medicine, Atlanta.




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