In national and local discussions of health care reform, there is disagreement about whether a national health insurance plan should be mandatory or voluntary.
This study describes characteristics of low-income people who were more likely or less likely to be covered by a voluntary plan.
Survey data were available from an evaluation of Washington State's Basic Health Plan, which offered subsidized health insurance to low-income residents.
For those subjects who were eligible and uninsured at baseline, those who joined were compared with those who did not join on a variety of demographic and health-related characteristics.
There were substantial differences between those who did and did not join the Basic Health Plan.
Those who did not enroll were generally less well-off, with less education, lower income, and worse health.
Many had never had health insurance.
If health care reform results in a voluntary plan, additional measures may be needed to ensure that less advantaged citizens have adequate access to health care.
Mots-clés Pascal : Assurance maladie, Accessibilité, Pauvreté, Homme, Motivation, Volontaire, Politique sanitaire, Protection sociale, Washington, Etats Unis, Amérique du Nord, Amérique, Statut socioéconomique, Réforme, Facteur sociodémographique, Soin intégré
Mots-clés Pascal anglais : Health insurance, Accessibility, Poverty, Human, Motivation, Volunteer, Health policy, Welfare aids, Washington, United States, North America, America, Socioeconomic status, Managed care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0322260
Code Inist : 002B30A01B. Création : 10/04/1997.