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The philanthropic community has examined access from many angles, seeking to break down barriers created by costs, culture, geography, system structure, and differing notions about who and what should be covered by both public and private insurance. In this era of health reform, GIH is working to inform and connect health funders who are interested in ensuring that vulnerable people with problems accessing the health care system are able to get the care they need.

Contact Ann McMillan for more information about our programming in this area.

Issue Spotlight

February 2019

Physicians in rural America share many similar challenges in their practices. They serve large geographic areas. Many of their patients are in poor health. And, perhaps most important, the people they serve often live below the poverty level. As part of a project to understand the experiences of low-income patients, the Commonwealth Fund interviewed physicians in rural communities to learn more about the hardships they see day-to-day. The doctors speak about their patients' inability to pay for insurance or basic medical care; struggles finding affordable, healthy food; social and behavioral health issues; scarce economic opportunities; and a lack of specialty providers

February 2019

This Health Affairs article examines whether recent state-level expansions to the Medicaid program resulted in reductions in poverty and whether future changes to the program are likely to have similar impacts on poverty. Authors find that Medicaid expansion has increased Medicaid's overall anti-poverty effect by 50% between 2010 and 2016.

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