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The ability to obtain health care is fundamental to the security, stability, and well-being of poor families. Government-sponsored programs provide temporary support, but as families leave welfare for work, they find themselves without access to coverage or care. The low-wage jobs that individuals in transition are typically able to secure provide few benefits yet often disqualify employees from receiving federal aid. Drawing upon statistical data and in-depth interviews with over five hundred families in Oregon, Karen Seccombe and Kim Hoffman assess the ways in which welfare reform affects the well-being of adults and children who leave the program for work. We hear of asthmatic children whose uninsured but working mothers cannot obtain the preventive medicines to keep them well, and stories of pregnant women receiving little or no prenatal care who end up in emergency rooms with life-threatening conditions. Representative of poor communities nationwide, the vivid stories recounted here illuminate the critical relationship between health insurance coverage and the ability to transition from welfare to work.

Health care reform. --- Health care reform --- Health insurance --- Health services accessibility --- Health Care Reform --- Interviews as Topic --- Insurance, Health --- Socioeconomic Factors --- Health Services Accessibility --- Oregon --- Social Welfare --- Delivery of Health Care --- Northwestern United States --- Health Planning --- Health Policy --- Data Collection --- Population Characteristics --- Sociology --- Insurance --- Patient Care Management --- Epidemiologic Methods --- Social Sciences --- Health Care Evaluation Mechanisms --- Financing, Organized --- Information Science --- Public Policy --- Health Care Quality, Access, and Evaluation --- Health Care Economics and Organizations --- United States --- Health Care --- Health Services Administration --- Quality of Health Care --- Anthropology, Education, Sociology and Social Phenomena --- Public Health --- North America --- Investigative Techniques --- Social Control Policies --- Economics --- Social Control, Formal --- Americas --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Policy --- Environment and Public Health --- Geographic Locations --- Geographicals --- Access to health care --- Accessibility of health services --- Availability of health services --- Medical care --- Health plans, Prepaid --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Access --- Ambulance service --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Medical policy --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services --- Accessibility, Health Services --- Contraceptive Availability --- Health Services Geographic Accessibility --- Program Accessibility --- Access to Health Care --- Accessibility of Health Services --- Availability of Health Services --- Accessibility, Program --- Availability, Contraceptive --- Health Services Availability --- Medically Underserved Area --- Healthcare Reform --- Health Care Reforms --- Healthcare Reforms --- Reform, Health Care --- Reform, Healthcare --- Reforms, Health Care --- Reforms, Healthcare --- Group Health Insurance --- Health Insurance --- Health Insurance, Voluntary --- Health Insurance, Group --- Insurance, Group Health --- Insurance, Voluntary Health --- Voluntary Health Insurance --- Group Interviews --- Interviewers --- Interviews, Telephone --- Oral History as Topic --- Group Interview --- Interview, Group --- Interview, Telephone --- Interviewer --- Interviews, Group --- Telephone Interview --- Telephone Interviews --- Community Services --- Services, Community --- Community Service --- Service, Community --- Welfare, Social --- Public Assistance --- Factors, Socioeconomic --- High-Income Population --- Inequalities --- Land Tenure --- Standard of Living --- Factor, Socioeconomic --- High Income Population --- High-Income Populations --- Inequality --- Living Standard --- Living Standards --- Population, High-Income --- Populations, High-Income --- Socioeconomic Factor --- Tenure, Land --- Access To Medicines --- Access to Contraception --- Access to Health Services --- Access to Medications --- Access to Therapy --- Access to Treatment --- Contraception Access --- Contraceptive Access --- Medication Access --- Access To Medicine --- Access to Contraceptions --- Access to Medication --- Access to Therapies --- Access to Treatments --- Access, Contraception --- Access, Contraceptive --- Access, Medication --- Contraception, Access to --- Contraceptive Accesses --- Medication Accesses --- Medication, Access to --- Therapy, Access to --- Treatment, Access to --- Social Inequalities --- Social Inequality --- Inequalities, Social --- Inequality, Social

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Population Dynamics --- Aged --- Socioeconomic Factors --- Aging --- Social Welfare --- Growth and Development --- Demography --- Sociology --- Adult --- Population Characteristics --- Social Sciences --- Health Care --- Physiological Processes --- Age Groups --- Epidemiologic Measurements --- Physiological Phenomena --- Anthropology, Education, Sociology and Social Phenomena --- Public Health --- Persons --- Phenomena and Processes --- Named Groups --- Environment and Public Health --- Person --- Community Health --- Environment, Preventive Medicine & Public Health --- Environment, Preventive Medicine and Public Health --- Health, Community --- Health, Public --- Preventive Medicine --- Education, Public Health Professional --- Physiological Concepts --- Physiological Phenomenon --- Physiological Process --- Concept, Physiological --- Concepts, Physiological --- Phenomena, Physiological --- Phenomenas, Physiological --- Phenomenon, Physiological --- Physiological Concept --- Process, Physiological --- Processes, Physiological --- Measurements, Epidemiologic --- Epidemiologic Measurement --- Measurement, Epidemiologic --- Age Group --- Group, Age --- Groups, Age --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Science, Social --- Sciences, Social --- Social Science --- Population Heterogeneity --- Population Statistics --- Characteristic, Population --- Characteristics, Population --- Heterogeneity, Population --- Population Characteristic --- Statistics, Population --- Adults --- General Social Development and Population --- Accounting, Demographic --- Analyses, Demographic --- Analyses, Multiregional --- Analysis, Period --- Brass Technic --- Brass Technique --- Demographers --- Demographic Accounting --- Demographic Analysis --- Demographic Factor --- Demographic Factors --- Demographic Impact --- Demographic Impacts --- Demographic Survey --- Demographic Surveys --- Demographic and Health Surveys --- Demographics --- Demography, Historical --- Demography, Prehistoric --- Factor, Demographic --- Factors, Demographic --- Family Reconstitution --- Historical Demography --- Impact, Demographic --- Impacts, Demographic --- Multiregional Analysis --- Period Analysis --- Population Spatial Distribution --- Prehistoric Demography --- Reverse Survival Method --- Stable Population Method --- Survey, Demographic --- Surveys, Demographic --- Demographer --- Demographic --- Demographic and Health Survey --- Population Distribution --- Analyses, Period --- Analysis, Demographic --- Analysis, Multiregional --- Demographic Analyses --- Demographies, Historical --- Demographies, Prehistoric --- Distribution, Population --- Distribution, Population Spatial --- Distributions, Population --- Distributions, Population Spatial --- Family Reconstitutions --- Historical Demographies --- Method, Reverse Survival --- Method, Stable Population --- Methods, Reverse Survival --- Methods, Stable Population --- Multiregional Analyses --- Period Analyses --- Population Distributions --- Population Methods, Stable --- Population Spatial Distributions --- Prehistoric Demographies --- Reconstitution, Family --- Reconstitutions, Family --- Reverse Survival Methods --- Spatial Distribution, Population --- Spatial Distributions, Population --- Stable Population Methods --- Technic, Brass --- Technique, Brass --- Development and Growth --- Developmental Biology --- Community Services --- Services, Community --- Community Service --- Service, Community --- Welfare, Social --- Public Assistance --- Aging, Biological --- Biological Aging --- Senescence --- Mutation Accumulation --- Factors, Socioeconomic --- High-Income Population --- Land Tenure --- Standard of Living --- Social Inequalities --- Social Inequality --- Factor, Socioeconomic --- High Income Population --- High-Income Populations --- Inequalities, Social --- Inequality, Social --- Living Standard --- Living Standards --- Population, High-Income --- Populations, High-Income --- Socioeconomic Factor --- Tenure, Land --- Economics --- Elderly --- Geriatrics --- Longevity --- Demographic Aging --- Demographic Transition --- Optimum Population --- Population Decrease --- Population Pressure --- Population Replacement --- Population Theory --- Residential Mobility --- Rural-Urban Migration --- Stable Population --- Stationary Population --- Malthusianism --- Neomalthusianism --- Aging, Demographic --- Decrease, Population --- Decreases, Population --- Demographic Transitions --- Dynamics, Population --- Migration, Rural-Urban --- Migrations, Rural-Urban --- Mobilities, Residential --- Mobility, Residential --- Optimum Populations --- Population Decreases --- Population Pressures --- Population Replacements --- Population Theories --- Population, Optimum --- Population, Stable --- Population, Stationary --- Populations, Optimum --- Populations, Stable --- Populations, Stationary --- Pressure, Population --- Pressures, Population --- Replacement, Population --- Replacements, Population --- Residential Mobilities --- Rural Urban Migration --- Rural-Urban Migrations --- Stable Populations --- Stationary Populations --- Theories, Population --- Theory, Population --- Transition, Demographic --- Transitions, Demographic --- Life History Traits --- Genetics, Population --- Economic and Social Factors --- Social and Economic Factors --- Socioeconomic Characteristics --- Characteristic, Socioeconomic --- Socioeconomic Characteristic --- Names