Wayne State University Press

Taking Care of the Uninsured
A Path to Reform

By James D. Chesney, Herbert C. Smitherman, Jr., Cynthia Taueg, Jennifer Mach, and Lucille Smith

Published by Wayne State University
Distributed by Wayne State University Press
Price: $25.00 Paper

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Description

Over the past forty years, since the enactment of Medicare and Medicaid, health care has been a hotly debated public policy issue. In the eyes of many, the U.S. health care system suffers from three major challenges: It does not cover and provide access to enough people, it functions inefficiently, and it could provide a better quality of care.

In Taking Care of the Uninsured: A Path to Reform, the authors demonstrate that health care can be improved. The path to reform has four components: Collaboration, Coordination, Coverage, and Care. The authors show that by collaborating, coordinating, implementing coverage, and organizing care for the uninsured, it is possible to improve primary care utilization and decrease inappropriate ER use and hospitalizations. This ultimately produces a more cost-effective health care system and broadens access to care. The authors conclude the book by outlining lessons learned, best practices, and successful policies that have proven effective.

This book is essential reading for anyone interested in health care policy and the debate on how to change and improve our U.S. health care system.

Authors

James D. Chesney, PhD, is a member of the Policy Initiatives Consulting Group, Ann Arbor, Michigan.

Herbert C. Smitherman, Jr., MD, MPH, FACP, is assistant dean of community and urban health and assistant professor in the Department of Medicine and Karmanos Cancer Institute, Wayne State University School of Medicine/Detroit Medical Center, and president and CEO of Health Centers Detroit Foundation, Inc., Detroit, Michigan.

Cynthia Taueg, BSN, MPH, DHA, is vice president for community health at St. John Health, Warren, Michigan.

Jennifer Mach, MD, MPH, is a research assistant in epidemiology and biostatistics for Voices of Detroit Initiative, Detroit, Michigan.

Lucille Smith, MEd is executive director of Voices of Detroit Initiative, Detroit, Michigan.

Reviews

"This book is an excellent description of the way in which local communities can come together to meet the health needs of their most vulnerable citizens. It should stimulate lively discussion as an important model for this nation."
— Irvin D. Reid
President of Wayne State University


"This book describes the barriers encountered . . . the lessons learned that can be applied in every community, and the policy changes needed for real reform . . . and serves as a guide for others seeking a 'path to reform.'"
— Gail L. Warden
President Emeritus of Henry Ford Health System