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  Vol. 147 No. 4, April 1993 TABLE OF CONTENTS
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Band-Aids or Cures?-Reply

JEFFREY BROWN, MD, MPH
Denver Health and Hospitals Westside Health Center 1100 Federal Blvd Denver, CO 80204

PAUL MELINKOVICH, MD
Ambulatory Care Services Denver Health and Hospitals 777 Bannock St Denver, CO 80204

Am J Dis Child. 1993;147(4):369.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In Reply.—We agree with Hess that a single-payer health insurance system would increase access to care. In fact, in our letter we stated that "one of the solutions [to the access problem for children] is to increase the percentage of Americans with health insurance." Our response to Hess' contention that a single-payer system will increase access to care for everyone is this: access to what kind of care? If care is not available in the community in which patients live, or it is provided by employees and physicians who do not speak the patient's or family's language and who do not understand their cultural background, or it is provided in an office in which racial and ethnic diversity is not respected, we question the value of that care or whether care will be received.

The point of our letter was that in addition to universal health insurance, we need to create . . . [Full Text PDF of this Article]



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