Teaching Case - Providing Obstetrical Care to Indigent Women in Montgomery County, Maryland

Providing Obstetrical Care to Indigent Women in Montgomery County, Maryland


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  • Product Description

    When obstetricians at the sole hospital in affluent Montgomery County, Maryland, treating poor women decide the financial risks of such service outweigh its benefits, the county confronts a health care crisis. The group of women most in need of pre-natal care, and the group most likely to have delivery complications, found itself without access to such services. The county health department had to find a way to arrange for obstetrical care for poor women to continue. Its options ranged from providing the service itself to offering the insurance protection of the county to private physicians so as to induce them to resume their work.

    Learning Objective:
    The case provides a vehicle for discussing how government should decide the nature and level of services in which the public has an overriding interest, such that some sort of public investment is appropriate.

  • Other Details

    Publication Date: January 01, 1991
    HKS Case Number: 1077.0
    Case Author: Esther Scott
    Faculty Lead: Marc Roberts
    Pages (incl. exhibits): 16
    Setting: United States
    Language: English
    Funding Source: Ford Foundation
    _year: Older than 2000
    _pages: 16-25
    _geography: US & Canada
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