FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 329:1957-1960 December 23, 1993 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

About two fifths of two-year-old children in the United States have not received recommended immunizations on schedule¹. These children, and a smaller number of older children, are susceptible to potentially devastating illnesses that can be prevented by vaccination, such as polio, measles, and Haemophilus influenzae type b infection. Congress has recently enacted a new plan, proposed by the Clinton administration, for the vaccination of children. Under this plan, the federal government will purchase vaccine and provide it at no charge to physicians for use in children insured by Medicaid and others who lack health insurance that covers immunizations. An . . . [Full Text of this Article]

The Compromise Plan

Implications for Physicians

Unaddressed Issues

Policy Issues

A More Rational Approach

The Employee Retirement Income Security Act -- An Obstacle to Insurance Reform

Recommendations

References

This article has been cited by other articles:

• Shen, A. K., Hunsaker, J., Gazmararian, J. A., Lindley, M. C., Birkhead, G. S. (2009). Role of Health Insurance in Financing Vaccinations for Children and Adolescents in the United States. Pediatrics 124: S522-S531 [Abstract] [Full Text]  
• Shen, A. K., Rodewald, L. E., Birkhead, G. S. (2009). Perspective of Vaccine Manufacturers on Financing Pediatric and Adolescent Vaccines in the United States. Pediatrics 124: S540-S547 [Abstract] [Full Text]  
• Salmon, D. A., Smith, P. J., Navar, A. M., Pan, W. K. Y., Omer, S. B., Singleton, J. A., Halsey, N. A. (2006). Measuring Immunization Coverage among Preschool Children: Past, Present, and Future Opportunities. Epidemiol Rev 28: 27-40 [Abstract] [Full Text]  
• Freed, G. L., Clark, S. J., Pathman, D. E., Schectman, R., Serling, J. (1999). Impact of North Carolina's Universal Vaccine Purchase Program by Children's Insurance Status. Arch Pediatr Adolesc Med 153: 748-754 [Abstract] [Full Text]  
• Clark, S. J., Freed, G. L. (1998). Use of Public Immunization Services After Initiation of a Universal Vaccine Purchase Program. Arch Pediatr Adolesc Med 152: 642-645 [Abstract] [Full Text]  
• Wood, D. L., Halfon, N. (1996). The Impact of the Vaccine for Children's Program on Child Immunization Delivery: A Policy Analysis. Arch Pediatr Adolesc Med 150: 577-581 [Abstract]  
• Freed, G. L., Clark, S. J., Konrad, T. R., Pathman, D. E. (1996). Variation in Patient Charges for Vaccines and Well-Child Care. Arch Pediatr Adolesc Med 150: 421-426 [Abstract]  
• Gostin, L. O., Lazzarini, Z. (1995). Childhood Immunization Registries: A National Review of Public Health Information Systems and the Protection of Privacy. JAMA 274: 1793-1799 [Abstract]  
• Freed, G. L., Abu-Saad, K., Margolis, C. Z. (1995). Reform of Child Immunization Service Delivery in Israel. JAMA 273: 1909-1912 [Abstract]  
• Feldman, S., Andrew, M., Gilbert, J., Bracken, B., Thompson, F. E. (1994). Measles Immunization of 2-Year-Olds in a Rural Southern State. JAMA 271: 1417-1420 [Abstract]