Medical Treatment  

Public programs to help poor obtain medical care have evolved as the country has grown richer and medical advances have increased life expectancy and improved quality of life. The evolution has not been a direct path of increased generosity towards poor people. It reflects a mix of greater understanding of the links between health and ability to work, and swings in the economy, the primary approach to helping poor people obtain medical care has been to make public health available, to a growing share of the poor.

But as experience with public insurance has grown, it has become clear that poor people face barriers to obtaining health care beyond simply their inability to afford it.

A shortage of physicians exists in many poor areas of the country, and not all physicians are willing to treat people with public insurance. As understanding of these barriers has increased, efforts to help low-income people obtain health care have expanded to include more funding for community health centers, public health clinics, language translators, and educational programs about health issues specifically targeted at groups of poor people. These public policy efforts, however, have been secondary.


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