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- Timothy M Westmoreland and Kathryn R Watson.
- Health Policy Institute, Georgetown University, Box 571444, 3300 Whitehaven Street, NW, Suite 5000, Washington, DC 20057, USA. westmort@law.georgetown.edu
- Am J Public Health. 2006 Apr 1; 96 (4): 600-5.
AbstractThe 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.
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