Health care competition has arrived. Market changes affect all consumers of health care, perhaps the low-income population most of all. This paper presents evidence from six states and draws general conclusions about current impacts and emerging policy issues. The stimulus for rapid change in...

This case study examined the District of Columbia's 11 acute-care, short-term, nonmilitary hospitals, how they are being affected by market change, and what this means for the city's poor. Information came from interviews with hospital executives and others, hospital association filings, and...