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From page 30... ...
While the expansion of health care insurance remains an important national objective, delivery systems must be put in place to address the special problems of such vulnerable groups as disadvantaged mothers and children, the homeless, substance abusers, and those for whom language and cultural barriers may impede access to care even when insurance is available. The major innovations in fashioning delivery systems responsive to the special needs of vulnerable target groups have come from the states and localities, not from the federal government.
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From page 31... ...
In order to broaden access to affordable health care, more attention will need to be focused on developing minimum benefit standards, a package of services that is adequate, of high quality, and cost-effective. Some level of economic discipline will have to be exercised.
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