Fragmentation has aptly described the United States' historically decentralized, disjointed, and disintegrated approach to health care.' While fragmentation has endured in multiple dimensions-political, economic, organizational, relational, regulatory, and philosophical, to name a few-the exclusionary characteristic of American health care facilitated by fragmentation has been one of the greatest hurdles to access to needed care.
The Universality of Medicaid at Fifty,
Yale J. Health Pol'y L. & Ethics
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