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UCLA Center for Health Policy Research

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Lack of primary care and attention to chronic disease are the real ills of the health care system, panelists said at a seminar on health care reform for California Broadcast Fellows.

Anthony Iton, public health officer for Alameda County, says that 3 out of every 4 health care dollars goes to the treatment of chronic disease. "It is the elephant in the room. If you're not talking about chronic disease, you're not talking about health," he says.

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Michael R. Cousineau is a associate professor of family medicine at the Keck School of Medicine at USC. Cousineau's work focuses on policy issues that impact access to primary care, health care financing, and health insurance coverage. He has conducted many funded research projects, most recently "The effects of privatization on health services for the poor in Los Angeles," funded by the Randolph and Doris Haynes Foundation. He is currently funded by The California Endowment to evaluate health programs for the poor.

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E. Richard Brown, Ph.D. is the founder and director of the UCLA Center for Health Policy Research and a professor at the UCLA School of Public Health. Professor Brown has studied and written extensively on disadvantaged populations' access to health care. His studies of health insurance coverage, the uninsured and eligibility for public programs have been used by California's governors, legislators and advocates in crafting health insurance legislation and programs.

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Dylan H. Roby is a research scientist for the UCLA Center for Health Policy Research and an assistant researcher in the Department of Health Services in the UCLA School of Public Health. He is project director for a study of access to medical treatment in the California workers' compensation system and is also a co-investigator for a Medi-Cal disease management pilot program evaluation for the California Department of Health Services.

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