PEDIATRICS Vol. 85 No. 5 May 1990, pp. 824-833
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Medically Uninsured Children in the United States: A Challenge to Public Policy

Charles N. Oberg MD, FAAP1

1 From the Department of Pediatrics, University of Minnesota and the Department of Pediatrics, Hennepin County Medical Center, Minneapolis, Minnesota

This article is an examination of the nature and extent of the problem presented by medically uninsured children in the United States. First, the characteristics of the uninsured population are explored with a description of how age, family income, and employment status disproportionately affect families with children. Second, the Medicaid program and its historically inadequate response to this growing problem of uninsured children is examined. Third, the relationship between insurance status and the health and development of children is discussed. Finally, recent public policy initiatives that have been enacted or proposed to address this inequity in the present health care system are reviewed with a recommendation to establish a "Universal Maternal and Child Health Program."

Key Words: Uninsured • Medicaid • low birth weight • universal access

Submitted on January 27, 1989
Accepted on July 10, 1989




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