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Journal of Health Politics, Policy and Law 1987 12(1):153-176; DOI:10.1215/03616878-12-1-153
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Hill-Burton: The Unfulfilled Promise

Michael A. Dowell
National Health Law Program

The poor and uninsured encounter numerous barriers to health care access. The Hill-Burton Act of 1946 required many hospitals to make their services available to all persons, yet ineffective enforcement has limited the utility of the act's requirements. Hill-Burton hospital audits have revealed widespread facility noncompliance. In light of these findings, alternative enforcement procedures should be considered.


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