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May 15, 1991

Caring for the Uninsured and Underinsured

Author Affiliations

Texas Medical Association Committee on Access to Health Care Austin

JAMA. 1991;265(19):2480-2481. doi:10.1001/jama.1991.03460190056010

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To the Editor.—  The availability and affordability of health care is no longer only a medical concern. Our great state of Texas has one of the highest percentages of uninsured and underinsured citizens in the United States.Recognizing this problem as it applies to the State of Texas, the Texas Medical Association (TMA), in response to its House of Delegates, in 1990 began a study bringing together a statewide coalition with representation from businesses, consumers, hospital administrators, insurers, legislators, physicians, and trial lawyers. We successfully developed a consensus for a plan that will begin to address the spiraling premium costs, decreased availability of health insurance, and lack of access to health care for more than 2.3 million uninsured Texans whose incomes are less than 200% of the poverty level. This plan will also address some of the issues experienced by the underinsured.The consensus document, "Insuring the Uninsured: A Plan

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