For nearly half a century, the gap between health careservices available to the rich and the poor in theUnited States narrowed, largely because of enormous investment bytaxpayers in public health programs such as Medicare andMedicaid.

But a new study shows that that trend reversed in 2004 becauseof the rising cost of health care and cutsto public health programs.

The analysis was published in The Hill by Drs. Steffie Woolhandler and DavidU. Himmelstein, professors of health policy at the City Universityof New York and co-founders of the Chicago-based Physicians for a NationalHealth Program, a group that advocates for a single-payerhealth care system.

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