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Most of the improvement-both absolute and relative-in the health status of black Americans over the past two decades can be traced to major gains in access to health care services. Public payment programs, most notably Medicaid and Medicare, have not only reduced financial barriers, but have also combatted those of racial discrimination. Other federal programs supporting targeted local services have been especially effective in reducing infant mortality. But the redistributive effects have been uneven and unequal across populations; many categorical gaps remain and increasing numbers are potentially without access to essential primary care services.
Author(s): Karen Davis; Marsha Lillie-Blanton; Barbara Lyons; Fitzhugh Mullan; Neil Powe; Diane Rowland
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Volume 65, Issue S1 (pages 213–247) Published in 1987
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The Milbank Quarterly’s multidisciplinary approach and commitment to applying the best empirical research to practical policymaking offers in-depth assessments of the social, economic, historical, legal, and ethical dimensions of health and health care policy.