title: Conundrum: who should care for the dermatologic needs of the medicaid patient? Facts and controversies.
abstract: With the impending implementation of Obamacare in the context of a depressed American economy; an unsustainable national deficit and debt; and increasing personal dependency upon government largesse, a perfect storm is developing in the United States. This perfect storm is embodied by the paradox that an expanding population of Title XIX insured patients is increasingly dependent upon a diminishing number of American dermatologists to provide essential dermatologic care. In this context, we discuss whose responsibility it is to care for the dermatologic needs of Title XIX patients.
authors.affiliation: University of Connecticut Health Center.
authors.forename: Barry D
authors.initials: BD
authors.lastname: Kels
authors.forename: Jane M
authors.initials: JM
authors.lastname: Grant-Kels
mesh_terms: D003880:Dermatology / Q000191:economics / Q000331:legislation & jurisprudence; D006297:Health Services Accessibility; D006801:Humans; D008004:Licensure; D008484:Medicaid / Q000706:statistics & numerical data*; D006278:Medicare; D058991:Patient Protection and Affordable Care Act; D014481:United States; D000078329:Workforce