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Redeeming Hollow Promises

The Case for Mandatory Spending on Health Care for American Indians and Alaska Natives

Bibliographic Data

ID11030258
AuthorsTimothy M Westmoreland (Timothy M. Westmoreland is with the Georgetown University Law Center and the Georgetown University Public Policy Institute, Washington, DC. At the time of this research, Kathryn R. Watson was with the Georgetown University Law Center.), Kathryn R Watson (Timothy M. Westmoreland is with the Georgetown University Law Center and the Georgetown University Public Policy Institute, Washington, DC. At the time of this research, Kathryn R. Watson was with the Georgetown University Law Center.)
Year2006
Volume96
Issue4
Pages600-605
Publication date2006-04-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.053793
PMID16507732
PMCIDPMC1470551
OpenAlexW2014144770
LanguageEN
Citations received8
References cited3

The reliance on discretionary spending for American Indian/ Alaska Native health care has produced a system that is insufficient and unreliable and is associated with ongoing health disparities. Moreover, the gap between mandatory spending on a Medicare beneficiary and discretionary spending on an American Indian/Alaska Native beneficiary has grown dramatically, thus compounding the problem. The budget classification for American Indian/Alaska Native health services should be changed, and health care delivery to this population should be designated as mandatory spending. If a correct structure is in place, mandatory spending is more likely to provide adequate funding that keeps pace with changes in costs and need

Beneficiary · Business · Economic growth · Economics · Environmental health · Geography · Health care · Health services · Health spending · Native american · Pace · Population · Sociology · Finance · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Primary Care and Health Outcomes

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Citations per year0.44
Citation span2008 - 2025 (18)
Highly citedNo

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