Public policy out of control. The home health care experience.

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Abstract
The home health care delivery system is facing challenges that threaten its survival as well as its very essence. Currently, the federal government provides the threat of disaster for home care patients, staff, and organizations. The dangers are palpable and very real. Although the immediate survival threat is fiscal, there are two other areas which have the potential to be equally devastating. The first is reduced, in some instances absent, patient access to care at home. The second is the flight of professional and paraprofessional personnel from home care.

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