Recognizing the needs of patients with end-stage renal disease (ESRD), the federal government passed legislation in 1972, establishing medicare coverage for 92 per cent of tge diseased victims regardless of age. However, federal health plannners did not in many areas, take into account what was already being accomplishcd on the state and local level. As a result, the implemention of the provision has created complications of its own.
This case study of new Jersey illustrates that until existent informal health delivery networks are incorporated into federal health planning, tlic taxpayer and health care consumer will not get the most mileage lor his or her dollar.
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