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福利改革:医疗保健环境中的倡导与干预。

Welfare reform: advocacy and intervention in the health care setting.

作者信息

Lawton E, Leiter K, Todd J, Smith L

机构信息

Department of Pediatrics, Boston Medical Center, MA 02118, USA.

出版信息

Public Health Rep. 1999 Nov-Dec;114(6):540-9. doi: 10.1093/phr/114.6.540.

Abstract

Welfare reform has drastically altered the lives of poor families in the US. In its wake, many former recipients are not receiving whatever transitional benefits and other safeguards to which they remain entitled under federal and state laws. Families are losing access to Medicaid and are not receiving the child care assistance or Food Stamps for which they continue to be eligible. Ill-served by stringent time limits and work requirements, lack of child care assistance, and lack of training and educational opportunities for the development of skills that will lead to better jobs, families need help to navigate the complexities of the new welfare system. Boston Medical Center's Department of Pediatrics has instituted a welfare screening project to educate families about their rights under welfare reform and assist them in advocating for themselves and their children.

摘要

福利改革极大地改变了美国贫困家庭的生活。改革之后,许多以前的福利领取者无法获得他们依据联邦和州法律仍然有权享受的任何过渡性福利及其他保障措施。家庭正在失去获得医疗补助的资格,并且无法得到他们仍然符合条件的儿童保育援助或食品券。由于受到严格的时间限制和工作要求的不利影响,缺乏儿童保育援助,以及缺乏有助于培养能带来更好工作的技能的培训和教育机会,这些家庭需要帮助来应对新福利体系的复杂性。波士顿医疗中心儿科部门启动了一个福利筛查项目,以让家庭了解他们在福利改革下所拥有的权利,并协助他们为自己和孩子争取权益。

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