JHHSA Articles 
The Development of the U.S. Health Care System and the Contemporary Role of the Public Health Department
CATHERINE GROTT
JHHSA, Vol. 29 No. 3,
(2006)
The absence of national health care reform and the growing
number of uninsured individuals in the United States have prompted
states to develop plans to provide medical care for the low income and
the indigent. Many local health departments are not only responsible
for the core public health functions; but they are increasingly called
upon to provide person health care services for those who cannot afford
it. This article chronicles the development of the health care system in
the United States and describes the contemporary role of the local
public health department.
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