The Fund supports networks of state health policy decision makers to help identify, inspire, and inform policy leaders.
The Milbank Memorial Fund supports two state leadership programs for legislative and executive branch state government officials committed to improving population health.
The Fund identifies and shares policy ideas and analysis to advance state health leadership, strong primary care, and sustainable health care costs.
Keep up with news and updates from the Milbank Memorial Fund. And read the latest blogs from our thought leaders, including Fund President Christopher F. Koller.
The Fund publishes The Milbank Quarterly, as well as reports, issues briefs, and case studies on topics important to health policy leaders.
The Milbank Memorial Fund is is a foundation that works to improve population health and health equity.
March 1977 (Volume 55)
Quarterly Article
Nora Piore
Purlaine Lieberman
James Linnane
December 2024
Dec 19, 2024
Back to The Milbank Quarterly
New York City’s attempt to transform traditional welfare medical care arrangements into an integrated and equitable health care system raises cautionary signals for national policy. In the decade following the introduction of Medicare and Medicaid some benefits were realized; but the problems of exploding costs and imploding revenues were beyond local control. The flow of public funds through privately operated systems as yet fails to assure either social purpose or fiscal prudence.
Author(s): Nora Piore; Purlaine Lieberman; James Linnane
Download the Article
Read on JSTOR
Volume 55, Issue 1 (pages 79–116) Published in 1977
