Health Affairs, 26, no. 5 (2007): 1219 doi: 10.1377/hlthaff.26.5.1219 © 2007 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Definitions & Determinants

PROLOGUE

Vulnerable Populations: Definitions And Determinants

The debate over reauthorization of the State Children’s Health Insurance Program has widely become viewed as a proxy crystallizing today’s philosophical divide regarding solutions to covering the uninsured. The magnitude of the tumult, however, also illustrates what those in the public health and social science communities have bemoaned for years: that the center of gravity for public policy initiatives intended to improve the health status of the most vulnerable has remained fixed on improving access to care. Far less consideration has been given to equally important "upstream" factors affecting the overall health of the population, including socioeconomic status, education, and . . . [Full Text of this Article]

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