2101 Constitution Avenue, N.W. Washington, D.C. 20418

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

This study was supported by the Robert Wood Johnson Foundation. The views presented in this report are those of the Institute of Medicine's Committee on Children, Health Insurance, and Access to Care and are not necessarily those of the funding organization.

Additional copies of this report are available for sale from the
National Academy Press,
Box 285, 2101 Constitution Avenue, N.W., Washington, D.C. Call (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area), or visit the NAP's on-line bookstore at

Library of Congress Cataloging-in-Publication Data

America's children : health insurance and access to care / Margaret Edmunds and Molly Joel Coye, Editors.

p. cm.

"Committee on Children, Health Insurance, and Access to Care Division of Health Care Services, Institute of Medicine, and Board on Children, Youth, and Families, National Research Council and Institute of Medicine."

Includes bibliographical references and index.

ISBN 0-309-06560-7 (pbk.)

1. Child health services—United States—Finance. 2. Health services accessibility—United States. 3. Insurance, Health—United States. 4. Medically uninsured persons—United States. I. Edmunds, Margaret. II. Coye, Molly Joel. III. Institute of Medicine.

Committee on Children, Health Insurance, and Access to Care. IV.

Board on Children, Youth, and Families (U.S.)

RJ102 .A387 1998



Copyright 1998 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The image adopted as a logotype by the Institute of Medicine is based on a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

The National Academies of Sciences, Engineering, and Medicine
500 Fifth St. N.W. | Washington, D.C. 20001

Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement