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Caring for the Uninsured and Underinsured
May 15, 1991

A Framework for Reform of the US Health Care Financing and Provision System

Author Affiliations

From the Kansas Employer Coalition on Health, Inc, Topeka, Kan. Members of the Kansas Employer Coalition on Health, Task Force on Long-term Solutions are listed at the end of the article.

JAMA. 1991;265(19):2529-2531. doi:10.1001/jama.1991.03460190107029

REPRESENTING 100 businesses, insurers, providers and other employers throughout Kansas, the Kansas Employer Coalition on Health, Inc is the state's primary voice for employers in matters of health policy.

In 1987 the coalition's board resolved to supply private sector leadership to solve the problem of large numbers of uninsured Americans. When an internal committee presented a universal access model, the board returned it to the committee with instructions to include provisions for cost containment. In July 1989 the board endorsed the principles and general strategies of the framework that follows.

BACKGROUND  The present methods of funding and providing health care throughout most of the United States (including Kansas) have allowed or contributed to the emergence of several serious problems:

  • Health care costs have increased at an alarming rate throughout the 1980s, far outstripping the overall inflation rate and doubling approximately every 6 years (Washington Post. January 8, 1989).

  • Asmanyas500 000Kansans