The Health Delivery System for the Poor in the State of Arkansas.

A description of what medical services are provided, who receives them, and who pays for them that will serve as a base case for an Arkansas Planning Commission study of alternative delivery systems. Of $28 million spent on medical services for the poor in 1968, the counties contributed 4 percent, the state 36 percent, and the Federal Government 60 percent. Health service is principally provided through local clinics and the University of Arkansas Medical Center. The state has several programs for specific health problems. Private medicine serves welfare patients through state purchases of medical service. Welfare recipients receive medical services under Medicaid, but those making slightly more than maximum allowable income are not eligible. If one of the state's primary objectives is to serve as a balance wheel in the distribution of health services, it is not only not achieving this objective but is contributing to the variance in terms of money, availability, and groups of the poor to whom services are available. (See also RM-6365.) 50 pp.