Who Enrolls in Community-Based Programs for the Uninsured, and Why Do They Stay?

Faced with growing numbers of uninsured, many communities are developing local programs to provide coverage or improved access. While some would predict that only those with health problems would participate, little is known about who enrolls. This article examines participation and retention in three community programs aimed at low-income uninsured adults. In two of the three programs, the typical participant had no health problems. Improved access to preventive and routine physician care, and increased security about accessing care should the need arise, appeared to be the primary benefits of both initial and continued enrollment.