An Approach to the Decentralization of Health Care Services in Multnomah County, Oregon

In the past several years, the subject of health care delivery has assumed increasing importance as a public issue. Congressional hearings, public and private commissions, and task forces have investigated the functioning of the health care system in depth, reporting that access to the system is impeded by financial barriers and by inefficiency of the delivery system. Medicare and Medicaid have attempted to surmount the financial barriers for, some segments of the population, and more inclusive health insurance proposals are being considered in Congress. The Healthright program, under the Economic Opportunity Act, has stimulated efforts to improve the delivery system as it relates to low income persons, and some of the health insurance proposals also have the goal of improving the delivery system.