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January 2003, Vol 93, No. 1 | American Journal of Public Health 16-19
© 2003 American Public Health Association

EDITORIAL

Universal Health Insurance in the United States: Reflections on the Past, the Present, and the Future

Bruce Vladeck, PhD

The author is with the Mount Sinai Medical Center, New York City.

Correspondence: Requests for reprints should be sent to Bruce Vladeck, PhD, Box 1062, Mount Sinai Medical Center, New York, NY 10029 (e-mail: bruce.vladeck@msnyuhealth.org).

Because this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.


   INTRODUCTION
 
We used to say that the United States shared with South Africa the distinction of being the only industrialized nation without universal health insurance. Now we don’t even have South Africa to point to. Almost 20% of the nonelderly population in this country lacks health insurance at any given time, and the disparities in access to care and health outcomes are very much greater in the United States than anywhere else from which there are reasonable data.

It is relevant to the politics of health care that the high end of the American health care system compares favorably with that . . . [Full Text]


   HISTORICAL-CULTURAL EXPLANATIONS
 

   POLITICAL-STRUCTURAL EXPLANATIONS
 

   WHERE POLITICAL CHANGE COMES FROM
 

   STRATEGIC CONSIDERATIONS
 



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