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1998 HSAC Forum <br />(continued) <br />Table 2. Working Lunch Results (continued) <br />What are the issues? <br />What should be done? <br />Who will do this? <br />❑ Regulations that provide no assistance <br />❑ Dedicate case manager for non - Medicaid <br />for people who do not qualify under <br />eligible individuals who need help <br />extreme poverty rate - it is easier for <br />❑ Support more staff hours for programs <br />some to be institutionalized than receivc <br />like adult daycare <br />in -home care <br />❑ Advocate for legislative change <br />CONCLUSIONS <br />The explosion of managed care in the United States and in North Carolina is <br />a result of the necessity to control the spiraling costs of health care. A <br />surfeit of unnecessary tests and procedures has even been proven to be <br />detrimental to patient welfare. However, recent experience has proven that <br />balances must also be placed on the other side of the equation to ensure that <br />individuals receive comprehensive care under all circumstances. The status <br />of the chronically ill and the uninsured remains a critical issue in the <br />managed care debate. <br />Legislative action has garnered bipartisan support in North Carolina and has <br />already established needed consumer protections. Continuing legislative <br />action is not possible without the strong voice of the consumer and attention <br />from the media and community leaders. Interested citizens must continue to <br />advocate for change. <br />1162 <br />