CLINICIANS DO not need studies to convince them that insurance coverage makes a difference. However, many policy makers do. The article by Slifkin et al1 in this issue of the ARCHIVES articulates just such a fundamental message through a purposeful evaluation of a North Carolina child health insurance plan supported by the State Children's Health Insurance Program (SCHIP). The SCHIP was established by Congress in 1997 to provide funds for state efforts to provide child health insurance for families with incomes too high to be eligible for Medicaid yet too low to realistically afford private insurance. In the analysis of the North Carolina program, parental surveys were conducted soon after a child's enrollment in the plan and then again a year later. Although the authors report a number of interesting results, of central importance was the finding that the percentage of children with unmet health care needs fell dramatically after entering the program. Parents reported that the program greatly enhanced access to physicians, eyeglasses, and prescription drugs. Few in the program reported that their children's health care needs were going unmet. These are important findings that speak directly to one of the principal questions regarding SCHIP: can such a health insurance plan reduce barriers to recommended care for children? This study suggests that, at least for the North Carolina case, the answer is yes.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Pediatrics editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.