A Model for Change: Legislative Advocacy to Improving Access for the Uninsured and Underinsured in New York State 1

Advocates can successfully improve access to health care for people without health insurance. This article demonstrates the success of what began as a local advocacy effort to improve access to health care on Long Island, which later grew to become a major statewide advocacy movement. It explores the process taken by local coalition members to successfully fight for monumental public health legislation—first locally then statewide—to improve access to hospital care for the medically indigent. Using New York State as a model, it includes several approaches that could facilitate the enactment of legislation in other states. The experiences of New York advocates suggest that with focused collaborative efforts it is feasible to promote significant changes to public health laws to benefit the uninsured and underinsured.     

A portrait of America's children: The impact of poverty and a call to action

The responsibility for children's services is disseminated between a multitude of advocacy organizations, social service agencies, and numerous departments within our government. A lack of conceptual integration and fiscal commitment is evident at the federal, state, and local levels. The examination of poverty and children's lack of economic security, inadequate medical care, homelessness, and nutrition inadequacies reveals a portrait of America's children that is both unsettling and alarming. The paper concludes with a call for action and the commitment that will be required to rectify this problem.     

Urban and Rural Differences in the Provision of Health Insurance Coverage for Children of Divorce

Abstract

Using data from divorce case records in New Hampshire this study examined urban and rural differences in the provision of health insurance coverage for children of divorce. In the overall sample of cases (N= 474) results from a chi-square test found rural children (N= 123) to be nearly twice as likely to be uninsured than urban children (N= 351). Results from the logistic regression in the urban county found fathers' and mothers' incomes to increase the log odds of children having access to health insurance. Mothers' employment also increased the log odds of children being insured. In the rural county fathers' earnings and mothers' employment increased the log odds of children having access to health insurance. Pre-school age (0-5) decreased the log odds of children being insured. Implications for family practitioners in rural areas are discussed.     

A Portrait of America’s Children: The Impact of Poverty and a Call to Action

The responsibility for children's services is disseminated between a multitude of advocacy organizations, social service agencies, and numerous departments within our government. A lack of conceptual integration and fiscal commitment is evident at the federal, state, and local levels. The examination of poverty and children's lack of economic security, inadequate medical care, homelessness, and nutrition inadequacies reveals a portrait of America's children that is both unsettling and alarming. The paper concludes with a call for action and the commitment that will be required to rectify this problem.     

发展中国家养老保障覆盖面不足的根源分析

在发展中国家,养老保障的扩面及对未保障群体的保护是他们最关心的问题之一,因为在这些国家的大多数劳动者和年老者都没有被正规养老保障计划覆盖。解决这一问题的关键是要分析清楚产生养老保障覆盖面不足的根源,只有这样,发展中国家才能制定出切实可行的政策规定,才能针对性强的扩大养老保障的覆盖面,做到有的放矢。