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Ann. N.Y. Acad. Sci., Annals PrePrint, published online ahead of print October 22, 2007
doi: 10.1196/annals.1425.007
Copyright © 2007 by the New York Academy of Sciences
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Articles by Hoffman, C. B
Articles by Paradise, J.
Health Insurance and Access to Health Care in the United States

Catherine B Hoffman 1* Julia Paradise 2

1 Kaiser Commission on Medicaid and the Uninsured, Henry J Kaiser Family Foundation, 929 Signorelli Circle, St. Helena, California, 94574, United States
2 Kaiser Commission on Medicaid and the Uninsured, Henry J. Kaiser Family Foundation, 1330 G St. NW, Washington, DC, District of Columbia, 2005, United States

* To whom correspondence should be addressed. E-mail: choffman{at}kff.org.

PrePrint Abstract

Health insurance, poverty, and health are all interconnected in the United States. This paper synthesizes a large and compelling body of health services research—finding a strong association between health insurance coverage and access to primary and preventive care, the treatment of acute and traumatic conditions, and the medical management of chronic illness. Moreover, by improving access to care, health insurance coverage is also fundamentally important to better health care and health outcomes. Research connects being uninsured with adverse health outcomes, including declines in health and function, preventable health problems, severe disease at the time of diagnosis, and premature mortality.

Key Words: health insurance, access to health care, poverty






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