Components of the safety net public hospitals community clinics local health departments and federal and state programs mounting pressures on the system rising numbers of uninsured patients decline in medicaid eligibility due to welfare reform increasing health care access barriers for minority and immigrant populations and more. Copies of americas health care safety net intact but endangered are available for sale from the national academy press call 800 624 6242 or 202 334 3313 in the washington metropolitan area or visit the nap home page at wwwnapedu. The report goes on to analyze three major economic pressures converging on safety net providers in the changing health care environment first in a health care system built around employment based insurance the number of uninsured people is rising steadily despite sustained economic prosperity and low unemployment. The september october 2007 issue of health affairs featured a summary of a 2006 iom symposium the symposium revisited the ioms 2000 report americas health care safety net indact but endangered and was held on november 1 2006. Read the full text of americas health care safety net intact but endangered for free on the web as well as more than 1800 other publications from the national academies printed copies are available for purchase from the national academy press web site or at the mailing address in the letterhead tel 202 334 3313 or 1 800 624 6242
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