Insurance Coverage & Costs
Costs
The Uninsured
Private Coverage
Employer Sponsored
Individual
Public Coverage
Medicare
Medicaid and SCHIP
Access to Care
Quality & Care Delivery
Health Care Markets
Issue Briefs
Data Bulletins
Research Briefs
Policy Analyses
Community Reports
Journal Articles
Other Publications
Surveys
Site Visits
Design and Methods
Data Files
Would Safety-Net Expansions Offset Reduced Access Resulting from Lost Insurance Coverage? Race/Ethnicity Differences
November/December 2006
Health Affairs, Vol. 25, No. 6
Jack Hadley, Peter J. Cunningham, J. Lee Hargraves
This study simulated whether increased community health center (CHC) funding under the Bush administration narrowed racial/ethnic gaps in access to care among low-income people. Expanded CHC funding resulted in small increases in access to care, more so for minorities than for whites. Spanish-speaking Hispanics had the largest improvements in access in the simulation. However, minorities experienced bigger drops in insurance coverage. The net result was no improvements in the access measures for Spanish-speaking Hispanics and slight decreases in access for whites, English-speaking Hispanics and African Americans. Access gaps either remained the same or worsened slightly for English-speaking Hispanics and African Americans relative to whites.
This article is available at the Health Affairs Web site by clicking here. (Free access.)
