Health Policy Center, Urban Institute, Washington, DC, USA.
Health Aff (Millwood). 2009 Mar-Apr;28(2):w335-45. doi: 10.1377/hlthaff.28.2.w335. Epub 2009 Feb 18.
In 2005, Missouri adopted sweeping Medicaid cutbacks. More than 100,000 people lost coverage, and many more faced reduced benefits and higher cost sharing. Using a range of data sources, we show that the cutbacks were followed by a major increase in the numbers of uninsured people, greater uncompensated care burden on hospitals, and revenue shortfalls that forced community health centers to obtain larger state grants and charge patients more. Competing demands on state budgets and the need to balance budgets even during recessions could result in policies that disadvantage those with great needs as well as the providers who serve them.
2005 年，密苏里州对医疗补助计划进行了全面削减。超过 10 万人失去了医疗保险，更多的人面临福利减少和更高的自付费用。我们利用一系列数据源表明，削减之后，没有保险的人数大幅增加，医院的无偿护理负担加重，收入减少迫使社区卫生中心获得更多的州政府拨款，并向患者收取更多费用。州预算的竞争需求以及即使在经济衰退期间也要平衡预算的需要，可能导致那些有巨大需求的人和为他们服务的提供者处于不利地位的政策。
