Sunday Health Policy UpDate
Sunday, August 6, 2006
E-Mail Sign-Up

Medicare Rx Enrollment

Bioterrorism Preparedness

American & Canadian Health


E-mail Alerts

Current Issue

Theme Issues

Contact Us

Health Affairs

Current Issue
on the State of
Public Health

Subscribe Now
To Health Affairs

"the bible of
health policy"
--The Washington Post

Get the full picture
with Health Affairs'
Theme Issues

New postings and analysis from Health Affairs, the leading journal of health policy. Health Affairs publishes new research each week online at For more information, contact Chris Fleming at 301-347-3944.

Medicare Part-D Enrollment Goal Met, But Vulnerable Groups Left Behind

Medicare has met its target of 90 percent enrollment for its prescription drug coverage for seniors, but millions of older people who could benefit from the Medicare Part D program are still not enrolled, according to a study published August 2 on the Health Affairs Web site. The study, the first to provide early results on the demographics of those enrolling in Medicare Part D, shows that enrollment rates are lowest among people who are healthy now and are using no prescription drugs and among the less healthy who currently use prescription drugs but had no insurance coverage prior to Part D. The most problematic groups are widows, unmarried women, and less-educated people who were not previously covered through veterans, employer, or union plans.

On Bioterrorism Preparedness, Hospitals Lag Behind

Largely because of increased and ongoing federal funding, the capabilities of local public health and emergency preparedness agencies to deal with bioterrorism are much improved from two years ago, Aaron Katz, Andrea Staiti, and Kelly McKenzie say in the July/August Health Affairs. However, the authors report, the same can not be said for hospitals. Because federal hospital preparedness funds had to be spread over thousands of hospitals, most hospitals received only a few thousand dollars - enough to buy new equipment and provide one-time training for staff, but not enough to permanently add the extra staff and space that would be needed to treat a surge of victims in a bioterrorism disaster.

Print editions of Health Affairs may be ordered for $35 each from Health Affairs' Customer Service at 301-347-3900 or online at

On Health, Uninsured Americans Trail Canadians And Insured Americans

Despite the fact that the United States health care budget is a great deal larger than Canada's, insured American adults fare roughly the same as Canadian adults when it comes to health care, while uninsured Americans lag behind. That's the finding reported by Claudia Sanmartin and coauthors in the July/August Health Affairs. The least well-off Americans, who are most at risk for being uninsured, were more likely than their Canadian low-income counterparts to report being in fair or poor health or having a mobility impairment; there were no systematic health differences among more affluent adults on either side of the border. Canadians and insured Americans reported similar access to health care, while uninsured Americans reported worse access.


Health Affairs, published by Project HOPE, is the leading journal of health policy. The peer-reviewed journal appears bimonthly in print with additional online-only papers published weekly as Health Affairs Web Exclusives at The full text of each Health Affairs Web Exclusive is available free of charge to all Web site visitors for a two-week period following posting, after which it switches to pay-per-view for nonsubscribers. The abstracts of all articles are free in perpetuity. Web Exclusives are supported in part by a grant from the Commonwealth Fund.


Subscribe today for full online access to Health Affairs--"the bible of health policy" (Washington Post, January 12, 2005).


Be the first to see what's new in health policy.

  • Sign up for Web Exclusive e-mail alerts from Health Affairs
  • NEW! Receive Health Affairs' headlines via RSS feed.

Health Affairs gratefully acknowledges the support of Health Care Update News Service in the dissemination of this e-alert.