For Children New to Obamacare, Transportation May Be a Barrier

As more provisions of the Affordable Care Act take effect, children across America whose access to health care has been limited by lack of insurance stand to benefit. But transportation to medical appointments could be a major obstacle that will reduce the impact of Obamacare, according to a letter from children’s health experts printed this month in the Journal of the American Medical Association this month.

Photo: World Pediatric Project

Four medical professionals from the Children’s Health Fund write:

Nationally, regardless of insurance status, 4 percent of children (approximately 3 million) missed a health care appointment each year because transportation was unavailable; this includes 9 percent of children in families with incomes less than $50,000. Thirty-one percent later used a hospital emergency department of the health condition associated with that missed appointment.

The authors say rural areas are most affected, and they take a close look at the issue in Mississippi. The team wrote that 66 percent of Mississippi’s counties were at high risk for transportation-related barriers to health care. Of those counties, 13 percent have no access to public transportation and another 87 percent had “limited access.”

But the authors also determine that even in these very rural areas, the distances to be overcome aren’t that overwhelming. Most population centers, they say, are within six miles of a clinic and even “outlying” population centers were generally within 14 miles. That led them to suggest that non-emergency medical transportation provided by hospitals might be warranted if it leads to better health outcomes and reduced emergency room visits. Previous research has found those types of transportation services to be cost effective.

  • Lars Ulrich

    Just wait until fewer and fewer doctors take Obamacare and Medicaid patients.

  • Tammi Diaz

    It is all about GREED with Utah Transit Authority. The Federal Government has Wasted Billions, Billions & Billions of Taxpayers Dollars Trax, FrontRunner & the StreetCar. UTA Destroyed the Bus System. All UTA Executives care about is Ridership on Trax, FrontRunner & StreetCar, so UTA Executives can Earn their Excessive Salaries & Bonuses at Taxpayers Expense.

    UTA is being run Business at Taxpayer Expense.There to be a Full Investigation into Utah Transit Authority.

  • andrelot

    I remember your ranting from other posts. You are quite a regular at blogs and sites covering the UTA, one of the agencies that most fast expanded good rail transit in the country last 20 years.

    If I remember correctly, your pet bus line was cancelled, so you are just anger because light rail doesn’t serve you and you complain anywhere about it bashing light rail, Front Runner and anythging else, God forbids anything but your bus route be the center of UTA priorities, right?

  • Tammi Diaz

    I have been Fight Since August 2007 change day the Big round Bus Routes Canceling. My Bus Route Cancel in August 2011, I am Advocate for the People. Anger is Growing out in the Community. It does no Good to Call Customer Concern. Utah Transit Authority has Destroyed the whole Bus System Hurting Hundreds, Hundreds & Hundreds of People. Because Destruction of the Bus System it cause more people need for going to the Food Bank. Utah Transit Authority is not a Friendly Car-Free & Transit-Oriented System.

    The only way Trax, FrontRunner & StreetCar are going to be a Success is a Good Bus System. Utah Transit Authority needs to Restore every Bus Routes & Expand the Bus System for Growth I will Stop until it is done. Not everyone can afford a Car or can Drive a Vehicle but UTA does not Care. I sure would not want Trax in my Neighborhood. I sure would not want FrontRunner in my Neighborhood is Diesel-Guzzling Net Polluter of NOx.

    What Good does do to have one of the Best Rail System the Country with a very Poor Bus System & very Long Commutes.

    Utah Transit Authority is being run like a Business at Taxpayers Expense. There needs to be a Full Investigation into Utah Transit Authority.

    andrelot how much is UTA Paying you to Lie!!


    From all of the religious Confession, the Islamic had positive feedback.
    The Patient Protection and Affordable Care Act, called Obamacare seems to be supported by the musulmans. Not for

    Decreasing the population of Christian people with abortion and contraceptive can cause serious changes in the

    percentage religious divisions in a few decades.
    Obama’s program does not Christian at all, and seems that the only supporters are the musulmans.
    He needed time to show his real face. He kept his religion secret, but with his steps he left no doubt about it:

    he does not believe in Christian teachings, nevertheless: he wants to dilute the Christian bloodline.


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