| Description |
xii, 426 pages ; 24 cm |
| Bibliography |
Includes bibliographical references (pages [371]-405) and index. |
| Contents |
1. The Medicaid story. The political economy of welfare medicine -- Devolution of power -- The (many) hands in the till -- The disregarded stakeholders: low-income households -- Social location: gender and race -- Public opinion and partisan politics -- Overview and organization of the book -- 2. The launching of Medicaid: 1965 to 1980. National health care: early failures -- The Social Security Amendments of 1965: Medicare and Medicaid -- Medicaid: more than a welfare program? -- Cost shifting: paying welfare medicine's bill -- Stemming the cash flow -- National health care strikes again -- Disillusionment -- Reimbursement and provider participation -- The powerful stakeholders -- Combating fraud -- Quality of care -- Conclusion: emerging questions -- 3. From Reagan to Clinton: the low-income health program on trial. Welfare medicine on the defensive -- Congress, mandates, and expansionary politics -- Devolution: fiscal crisis in the states -- The states strike back -- Confrontation: the emergence of the "new right" -- The end of welfare as we know it -- Resumption of expansionary Medicaid politics -- Conclusion: the ebb and flow of welfare medicine -- 4. Welfare medicine in the twenty-first century. Destabilizing Medicaid -- Welfare medicine in the states -- Expanding coverage -- Dismantling the program -- Children first -- Conclusion: smokescreens and mirrors -- 5. Better than nothing? Who gets what, when, how, and where. Who is covered? barriers to participation -- Impediments to obtaining services -- Restricted benefit packages -- Welfare medicine: universal problem solver -- Conclusion: good enough? -- |
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6. Long-term care: Medicaid's eight-hundred-pound gorilla. Long-term care in the United States -- The middle class as stakeholders -- The growth of home-and community-based services -- Hidden costs: informal caregivers -- Déjà vu: counting on the marketplace -- Conclusion: reckoning with long-term care -- 7. Quality of care: does welfare medicine measure up? Second-rate care -- Skimping on services: managed care -- Serving frail elders and the disabled -- Gaming the system -- Program integrity -- Conclusion: disregarding the poor -- 8. The energizer bunny: Medicaid and the health economy. The Medicaid medical industrial complex -- Economic engine for the states -- Conclusion: stakeholders and welfare medicine -- 9. The buck stops where? Tug-of-war: paying the bill -- Medicare and welfare medicine -- Combat within and among the states -- Encumbering the poor -- Dodging responsibility: the private sector -- Conclusion: paying the bill -- 10. Conclusion: Medicaid and the future of health care in the United States. Welfare medicine: promise and performance -- Devolution: the fiscal and political incapacity of states -- The U.S. health care system: broken and dysfunctional -- If it's broke, fix it: the need for national health care. |
| Subject |
Medicaid -- Political aspects.
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Medicaid.
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Managed care plans (Medical care) -- United States.
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Poor -- Medical care -- Law and legislation -- United States.
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| Local Subject |
Poor people -- Medical care -- Law and legislation -- United States.
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| Subject |
Managed Care Programs -- economics -- United States.
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Economics, Medical -- United States.
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| ISBN |
9780231150606 cloth alkaline paper |
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0231150601 cloth alkaline paper |
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9780231521598 ebook |
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0231521596 ebook |
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