A Shared Destiny is the fourth in a series of six reports on the problems of uninsurance in the United States. This report examines how the quality, quantity, and scope of community health services can be adversely affected by having a large or growing uninsured population. It explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the effects of community uninsurance on access to health care locally, and the potential spillover effects on a community s economy and the health of its citizens. The committee believes it is both mistaken and dangerous to assume that the persistence of a sizable uninsured population in the United States harms only those who are uninsured.
Table of Contents
|2 Context for Community Effects: Uninsurance and the Financing and Delivery of Health Services||34-81|
|3 Community Effects on Access to Care||82-119|
|4 Economic and Social Implications of Uninsurance Within Communities||120-137|
|5 Community Health and Uninsurance||138-161|
|6 Summary: Conclusions and Research Agenda||162-174|
|Appendix A: Conceptual Framework for Assessing the Consequences of Uninsurance for Communities||175-179|
|Appendix B: Geographic Differences in Uninsured Rates||180-188|
|Appendix C: Data Tables||189-202|
|Appendix D: Commissioned Papers||203-235|
|Appendix E: Glossary||236-241|
|Appendix F: Biographical Sketches||242-253|
The National Academies Press (NAP) has partnered with Copyright Clearance Center's Rightslink service to offer you a variety of options for reusing NAP content. Through Rightslink, you may request permission to reprint NAP content in another publication, course pack, secure website, or other media. Rightslink allows you to instantly obtain permission, pay related fees, and print a license directly from the NAP website. The complete terms and conditions of your reuse license can be found in the license agreement that will be made available to you during the online order process. To request permission through Rightslink you are required to create an account by filling out a simple online form. The following list describes license reuses offered by the National Academies Press (NAP) through Rightslink:
Click here to obtain permission for the above reuses. If you have questions or comments concerning the Rightslink service, please contact:
Rightslink Customer Care
Tel (toll free): 877/622-5543
To request permission to distribute a PDF, please contact our Customer Service Department at 800-624-6242 for pricing.
To request permission to translate a book published by the National Academies Press or its imprint, the Joseph Henry Press, please click here to view more information.