Health Affairs, 25, no. 3 (2006): w150-w161 (Published online 11 April 2006) doi: 10.1377/hlthaff.25.w150 © 2006 by Project HOPE	New Online   VP Candidates On Health Reform   Cutler On McCain's Plan   Scoring Obama's Plan   Roundtable: Politics, Reform   Number Of Uninsured   Delivery System Overhaul

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Charge Of The Right Brigade? Communities, Coverage, And Care For The Uninsured

The Robert Wood Johnson Foundation’s Communities in Charge (CIC) program funded projects in fourteen communities that aimed to expand health insurance coverage and improve care for their uninsured residents. Our examination of seven program sites suggests that despite solid community leadership and carefully crafted plans, political, economic, and organizational obstacles precluded much expansion of coverage and constrained reforms. Redistribution of financial and organizational resources among both mainstream and safety-net institutions in these communities was hard to achieve. CIC’s record offers little evidence that communities are better equipped than are other sectors of U.S. society to solve the problem of uninsurance.

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