A Widening Rift In Access And Quality: Growing Evidence Of Economic Disparities

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Abstract
Data from the Community,Tracking Study provide a valuable perspective from which to observe how economic,disparities—largely a function of different sources of cover- age—influence access to medical care in the United States. Many recent investments,and initiatives are focused on affluent communities,and are accessible mainly to people with employer-based or Medicare coverage. For people with Medicaid or no coverage at all, ac- cess to basic care is worsening, as a result of stalled coverage expansions and service cut- backs. An improving,economy,could forestall further cuts and permit reversal of earlier ones, but progress in closing this rift does not appear imminent. T