What managed care is designed to do, however, is cover all of us. Its central tenet is that by spending prudently, all Americans can have access to managed care. And many, though not all, do. Those who do not have access are usually working full time, or at several part-time jobs. These jobs come without insurance.
Employees get an hourly wage, and that's it.
Health care is too expensive for employers to offer, or simply not part of the way they do business. Many recently graduated students also seem to be without access to managed care. May. The Kennedy-Kassebaum law apparently doesn't cover students who had health insurance through school up until graduation. Still others without managed care access are homeless, unemployed and mentally ill. These are people who cannot find a managed care plan to save their soul, much less their diabetic foot ulcer.