Pearlman D N
J Health Care Poor Underserved. 1998 Aug;9(3):217-21. doi: 10.1353/hpu.2010.0173.
The failure of the 104th Congress to pass legislation that would have provided universal health care coverage has created gaping holes in the health care safety net for the working poor. As a result, the number of Americans without health insurance, which was 37 million in 1992, could reach 50 million in 1998. Current changes in welfare policy, centered on reform of the joint federal-state program Aid to Families with Dependent Children (AFDC), have further redefined the safety net for the poor. These changes may jeopardize the health of poor women as any change in eligibility requirements for AFDC also limits eligibility for Medicaid. Given the financial and social difficulties facing poor women, a growing number of researchers are redefining what constitutes research on women's health. Research is needed on how the high rates of health problems and few health resources of poor racial/ethnic minority women affect their quality of life.
第104届国会未能通过本可提供全民医保覆盖的立法，这在为在职贫困人口提供的医疗安全网中造成了巨大漏洞。结果，1992年没有医保的美国人有3700万，到1998年可能会达到5000万。当前以联邦和州联合项目“对有受抚养子女家庭的援助”（AFDC）改革为核心的福利政策变化，进一步重新定义了穷人的安全网。这些变化可能危及贫困妇女的健康，因为AFDC资格要求的任何变化也会限制医疗补助计划的资格。鉴于贫困妇女面临的经济和社会困难，越来越多的研究人员正在重新界定什么构成对妇女健康的研究。需要研究贫困的少数族裔妇女的高健康问题发生率和稀缺的医疗资源如何影响她们的生活质量。
