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Previous Volume 349:917-918 August 28, 2003 Number 9 Next

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By the Committee on the Consequences of Uninsurance. 275 pp., illustrated. Washington, D.C., National Academies Press, 2003. $29. ISBN 0-309-08726-0.

Insurance inherently involves collective destinies among members of a community — a sharing of the risk of loss from untoward events. The fourth report from the Institute of Medicine's Committee on the Consequences of Uninsurance, A Shared Destiny: Community Effects of Uninsurance, explores a mirror image of the communal fortunes of those who are insured: the implications for a community of people who share geography and health services when not all of them are insured. It highlights the critical question of what happens to the broader community when the health insurance risk pool is highly fragmented and exclusionary.

The . . . [Full Text of this Article]

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