Traces academic medicine's historical opposition to community medicine and its emphasis on traditional hospital-cased curricula subspecialties, to the neglect of primary and preventive care, community-oriented medicine, and public health. Calls for reducing barriers to basic medical services for all, and for training physicians equipped to respond…

By examining prenatal care opportunities and health resources for low-income families, this paper investigates both the extent to which available health care in Virginia emphasizes a preventive approach and the extent to which Virginia's medically needy children have access to medical care. Statistics indicate that, as compared with the country as…

Uncompensated/free care and community service obligations under the Hill-Burton Act can assist substantially in providing needed health care services to the Black community. Blacks, however, must become knowledgeable about these obligations, develop monitoring projects, and be prepared to take legal steps to bring Hill-Burton facilities into…

In the 1960s, health education made remarkable advances due to the enormous escalation in investment and financing in both health care and health programs. However, due to cuts in federal spending, the outlook is bleak for health education programs in the 1980s. Five problems are described which inhibit the progress of health education. (JN)

Describes the health care functions provided for the Black community by urban public hospitals; considers the impact of Federal retrenchment on these institutions; and examines the negative impact on Blacks, other minorities, and the poor that the sale of urban public hospitals to private, for-profit chains will have. (GC)

Examines poor health conditions and health problems of American Indians. Stresses that health programs for American Indians have been underfunded from the start, and that the diminishing commitment of the American government to such programs threatens to worsen an already low Indian health index. (MJL)

Analyzes alternative, efficiency-based explanation of subsidies to medical training and medical care. The authors conclude that either excessive resources are being devoted to training physicians or factors other than capital market imperfections justify subsidies to this market. (CT)

Because public support for establishing school-based health centers has outstripped the provision of stable funding mechanisms, this article addresses possibilities of using patient care revenue, especially Medicaid, as a component of a long-term funding strategy. Experiences of various state governments authorizing schools to bill Medicaid are…

This statement of the National Association of State School Nurse Consultants lists those school nursing services and procedures the organization believes should be reimbursable by Medicaid to school districts. Identified services are in the areas of case finding, nursing care procedures, care coordination, patient/student counseling, and emergency…

In court cases involving undocumented aliens' access to social services, each litigant (including federal, state, and county governments and private hospitals) is attempting to pass responsibility for services provision to the others. Central to the debate are definitions of residency and liability, as influenced by cultural values and…

Success, it is suggested, has brought the medical school into critical new responsibility for the welfare of the university as a whole. An urgent topic for inquiry in the university is seen as the expansion of the medical economy and the attendant growth of medical schools. (MLW)

Discusses the question of who will pay for the undocumented immigrants' access to social services, particularly health services. Argues that neither state governments, counties, local governments, private hospitals, the judiciary, nor the federal government have accepted responsibility, and consequently, the workers and the community at large are…

Methods of accountability are presented in considering the Reagan administration plan to consolidate 84 federal health, education and social service grants into six block grant areas and to cut overall funding. After matching aspects of public criticism with proposal objectives, a rationale is developed for building elements of accountability into…

Medical students that come from rural areas are more likely to return to rural areas to practice, but rural students apply for medical school at half the rate of urban students. Factors that contribute to this problem are the lack of rural representation on medical school selection committees; centralization of medical education facilities in…

Examines the effects of Title VI and the Social Security Amendments of 1965 on public health policy and on equal access to hospital and physician services. Explores the implications of federal health budget reductions on access to medical care by the poor and the elderly. (Author/MJL)