ation is without any formal health care insurance coverage, although some estimates of this proportion are higher (Rosen, Fanshel, and Lutz, 1993, p. 234). Further, in most cases, such individuals are not in a financial position to fund such services as required. With the size of the American population approximating 250 million persons, the 12 percent without formal health care insurance translates into approximately 30 million people (Bureau of the Census, 1993, p. 5).
Medicaid must also be prepared to deal with the approximately 30 million persons who are without any formal health care insurance coverage, and are not in a financial position to fund such services as required. The working poor without health care insurance tend to postpone medical consultation and treatment to avoid incurring costs they cannot afford. As a consequence, when they do receive health care services those services are typically more extensive and more costly than would have b
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