The Uninsured in the Context of an Experimental Approach to Health Care Reform

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Objective: To explore the reasons for remaining uninsured in the context of an experimental approach to health care designed to expand insurance affordability and availability (tenure). Methods: A telephone survey of heads of households in 13 counties in midstate Tennessee (n=5,000). Results: of those surveyed, 54% reported affordability as the main obstacle to obtaining health insurance. Conclusions: This survey was designed to describe the uninsured as a population of interest. The survey found that for those not eligible for Medicaid, signing up for TennCare presents both financial and time costs that many are not willing to incur.

Document Type: Research Article


Affiliations: 1: Department of Political Science, University of Tennessee-Knoxville, Knoxville, TN. 2: Department of Public Administration, College of Business and Public Administration, University of Missouri-Columbia, Columbia, MO.

Publication date: March 1, 1999

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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