ians in solo practice or small groups -- employing 10 physicians or fewer -- provided charity care in 2004 to 2005, and this has not changed significantly since 1996-1997. By comparison, physicians in larger groups and institutional-based practices, like medical schools or hospitals, are much less likely to provide charity care, and charity care among these physicians declined sharply.
Dr.Hill says that charity is not the answer to the solution, and feels that a, more important solution should be developed. He says that the AMA supports the use of tax credits to make health insurance more affordable and changes in insurance regulation that would reduce costs. Dr. Peter Cunningham, senior researcher for the center, feels with fewer physicians providing charity care, the uninsured people are going to seek care in hospitals emergency rooms. And care in emergency rooms is more costly and less efficient.
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