1. * Principal Research Associate, Health Policy Center, The Urban Institute, Washington, D.C. This article was written for the Southern Illinois University conference on Health Care Access: New Directions or Old Paradigms? held at Makanda, Illinois, May 18, 2000. It draws upon much work done at The Urban Institute for the Assessing the New Federalism project, a multi-year analysts of the devolution of responsibility for social programs from the federal government to the states. Support of that work from many funders is gratefully acknowledged : the Annie E. Casey, Henry J. Kaiser Family, W.K. Kellogg, John D. and Catherine T. MacArthur, McKnight, Robert Wood Johnson, Charles Stewart Mott, and Weingart Foundations; the Commonwealth Fund; and the Fund for New Jersey. All opinions expressed are those of the authors. Address correspondence to Mr. Bovbjerg at Health Policy Center, The Urban Institute, 2100 M Street N.W., Washington, D.C. 20037, or via e-mail at RBovbjer@ui.urban.org.
2. Robert J. Mills, Health Insurance Coverage: 1999, U.S. CENSUS BUREAU, CURRENT POPULATION
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5. Jennifer M. Haley & Stephen Zuckerman, Health Insurance, Access, and Use: United States Tabulations from the 1997 National Survey of America's Families, URB. INST., July 2000, available at http://newfederalism.urban.org/pdf/discussion00-14.pdf.