North Carolina Medical Journal



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May/June 2010

What Does Health Reform Mean for North Carolina?

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For information, please contact us at the North Carolina Institute of Medicine
630 Davis Drive, Suite 100
Morrisville, NC 27560
E-mail: ncmedj(at)nciom(dot)org

Phone 919.401.6599 ext. 25
Fax 919.401.6899



Staff and Editorial Board

THE NORTH CAROLINA MEDICAL JOURNAL
Founded by the North Carolina Medical Society in 1849
Published by The North Carolina Institute of Medicine (ISSN 0029-2559)

Publishers
Pam C. Silberman, JD, DrPH
President and CEO
NC Institute of Medicine, Morrisville

Eugene W. Cochrane, Jr.
President
The Duke Endowment, Charlotte

EDITOR-IN-CHIEF
Thomas C. Ricketts III, PhD, MPH
Deputy Director
Cecil G. Sheps Center for Health Services Research
and
Professor
Health Policy and Administration and Social Medicine
University of North Carolina at Chapel Hill

SCIENTIFIC EDITOR
John W. Williams, MD, MHS
Duke University, Durham

EDITORS EMERITUS
Francis A. Neelon, MD
Duke University, Durham

Gordon H. DeFriese, PhD
University of North Carolina at Chapel Hill, Chapel Hill

ASSOCIATE EDITORS
Dana D. Copeland, MD, PhD
WakeMed, Raleigh

Mark Holmes, PhD
NC Institute of Medicine, Morrisville

Mary L. Piepenbring
The Duke Endowment, Charlotte

Charles F. Willson, MD
East Carolina University, Greenville

SECTION EDITOR, RUNNING THE NUMBERS
Robert E. Meyer, PhD, MPH
State Center for Health Statistics, NC Division of Public Health, Raleigh

MANAGING EDITOR
Scott C. O'Brien, MA, MPH
NC Institute of Medicine, Morrisville
919.401.6599 ext. 25
fax: 919.401.6899
email: obriens (at) nciom (dot) org

ASSISTANT MANAGING EDITOR
Phyllis Blackwell
NC Institute of Medicine, Morrisville
919.401.6599 ext. 27
fax: 919.401.6899
email: pblackwell (at) nciom (dot) org

BUSINESS MANAGER
Adrienne R. Parker
NC Institute of Medicine, Morrisville
919.401.6599 ext. 28
fax: 919.401.6899
email: adrienne_parker (at) nciom (dot) org

GRAPHIC DESIGN
Angie Dickinson Design
770.704.0996
email:angiedesign (at) windstream (dot) net



EDITORIAL BOARD
William B. Applegate, MD, MPH
Wake Forest University, Winston-Salem

Cynthia B. Archie, RN, EdD
Wayne Community College, Goldsboro

William K. Atkinson II, PhD, MPH
WakeMed, Raleigh

James A. Bryan II, MD
University of North Carolina at Chapel Hill

J. Steven Cline, DDS, MPH
Epidemiology Section, Division of Public Health, NC DHHS, Raleigh

Fred M. Eckel, MS
NC Association of Pharmacists, Chapel Hill

E. Harvey Estes, Jr., MD
Duke University, Durham

Herbert G. Garrison, MD, MPH
East Carolina University, Greenville

Ted W. Goins, Jr.
Lutheran Services for the Aging, Salisbury

Beth A. Griffin, MHP, PA-C
Stella

Blaine Paxton Hall, PA-C
Duke University Medical Center, Durham

Margaret N. Harker, MD
Morehead City

Robert T. Harris
Blue Cross Blue Shield of North Carolina, Chapel Hill

Olson Huff, MD
NC Child Advocacy Institute, Raleigh

Thomas G. Irons, MD
East Carolina University, Greenville

Julienne K. Kirk, PharmD
Wake Forest University, Winston-Salem

Ricky L. Langley, MD, MPH
Division of Public Health, Raleigh

Mark Massing, MD, PhD
The Carolinas Center for Medical Excellence, Raleigh

Jane B. Neese, RN, PhD
University of North Carolina, Charlotte

M. Alec Parker, DMD
NC Dental Society, Flectcher

Deborah Porterfield, MD, MPH
Division of Public Health, Raleigh

Senator William R. Purcell, MD
NC General Assembly, Laurinburg

Dennis R. Sherrod, RN, EdD
Winston-Salem State University, Winston-Salem

Polly Godwin Welsh, RN-C
NC Health Care Facilities Association, Raleigh

W.T. Williams, MD
Davidson

David R. Work, JD
NC Board of Pharmacy, Chapel Hill

Joyce M. Young, MD, MPH
IBM Corporation, Research Triangle Park

The Journal is published by The North Carolina Institute of Medicine and The Duke Endowment under the direction of its Editorial Board. Copyright© Copyright 2003 North Carolina Institute of Medicine. Address manuscripts and communications regarding editorial matters, subscription rates, etc., to the address below. All advertisements are accepted subject to the approval of the Editorial Board of the North Carolina Medical Journal. The appearance of an advertisement in this publication does not constitute any endorsement of the subject or claims of the advertisement. Listed in Index Medicus.

Advertising: 919.401.6599 ext. 27

Printing: The Ovid Bell Press, Inc., 1201-05 Bluff St., Fulton, MO 65251, 800.835.8919. Annual subscription (6 issues): $40 (plus 7% NC sales tax = $42.80). Institutional subscriptions: $60. Single copies: $10 Periodicals postage paid at Morrisville, NC 27560 and at additional mailing offices.





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