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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