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Most respondents said they didn't trust the charity system, or didn't have enough time.
Guernica: Would it be more advantageous for us to restructure the charity system?
If a federal plan passes, this long-running dispute may be moot because new financing formulas could make the charity system obsolete.
Critics, including some state and local health officials, have argued that the charity system is archaic and inefficient and have urged a more decentralized approach, with less restrictive Medicaid eligibility requirements, more community health clinics and a greater emphasis on primary care.
One of Britain's leading food poverty experts, Professor Elizabeth Dowler of Warwick University, said the committee's proposals risked enshrining "an unaccountable charity system" to address a rise in poverty that "can only properly be dealt with by the state tackling the fundamental structural causes".
The proposals being debated in Congress would significantly cut these payments over the next decade in favor of a broad expansion of Medicaid coverage: under the Senate proposal, state health officials say, nearly half of Louisiana's population would be eligible for Medicaid and would no longer have to rely on the charity system.
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Louisiana officials say a reduction in federal money to hospitals that treat the uninsured under the bill could be a death knell for their state-run charity hospital system.
New York's charity care system, partly financed by an 8.95 percent surcharge on hospital bills, is one of the most complicated in the nation, but many states have wrestled with aggressive debt collection by hospitals in recent years.
In Louisiana, there is particular concern about what the statute will mean for the future of the state's charity hospital system, which has a long and storied history of treating the poor in the state.
"Health care reform will be more of a burden to Louisiana than any other state I can think of, and that's primarily because of the charity hospital system," said David Hood, a former state health secretary and now an analyst at the Public Affairs Research Council of Louisiana.
What sets the state apart has been its charity hospital system, which has existed in various forms since the early 18th century, and has been championed for generations by the state's populist leaders, including the Depression-era governor and senator Huey Long.
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