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Published: 08 August 2005
DOI: 10.1215/9780822387343-008
EISBN: 978-0-8223-8734-3
...Medicaid and Medicare: The Unanticipated Politics of Public Insurance Programs Lawrence D. Brown and Michael S. Sparer Once upon a time, more or less everyone knew what genuine health reform meant. Affordable universal coverage would have the statutory shape of a European national health...
Published: 01 February 2006
DOI: 10.1215/9780822387633-002
EISBN: 978-0-8223-8763-3
...2 Precursors to Medicare and Medicaid Early Federal Efforts in Health Services The federal government had been involved in safeguarding the public’s health, and in providing a limited array of clinical services, since shortly after its founding. The U.S. Public Health Service (phs) was...
Published: 01 February 2006
DOI: 10.1215/9780822387633-003
EISBN: 978-0-8223-8763-3
...3 War on Poverty and the Genesis of Medicaid Policy Planning in the Mid-1960s The Johnson administration in 1965 faced an array of issues surrounding the provision of health services. Most pressing was whether elderly and poor care planning could be conducted in isolation or...
Published: 01 February 2006
DOI: 10.1215/9780822387633-011
EISBN: 978-0-8223-8763-3
... 11 Managed Medicaid, AIDS, and the Clinton Health Bill The Uninsured in the Early 1990s By 1990 33 million Americans, nearly 15 percent of the total population, lacked...
Published: 01 February 2006
DOI: 10.1215/9780822387633
EISBN: 978-0-8223-8763-3
Book Chapter

By Jonathan Engel
Published: 01 February 2006
DOI: 10.1215/9780822387633-014
EISBN: 978-0-8223-8763-3
... Political Economy of Medicaid State University of New York, 1984. Berendt, Emil, ‘‘The Demand for Medicaid and afdc City University of New York, 1985. Boyer, C. A., ‘‘Government Health Spending in the American Welfare State Yale University, 1986. Gilman, Jean Marie, ‘‘Medicaid and...
Book Chapter

By Jonathan Engel
Published: 01 February 2006
DOI: 10.1215/9780822387633-012
EISBN: 978-0-8223-8763-3
... role of the Medicaid program as the vehicle for government involve- ment, and the repeated e√orts of lawmakers to amend Medicaid. These themes exist within the general matrix of ambivalence that Americans have shown toward social insurance, as discussed in the Preface. I will discuss each of these...
Published: 01 February 2006
DOI: 10.1215/9780822387633-010
EISBN: 978-0-8223-8763-3
... 10 Recovering the Cuts, Managed Care, and Comprehensive Reform Program Expansions, 1984–1989 The e√ects of Medicaid cuts enacted during the first Reagan administra- tion were apparent by 1985. The proportion of America’s poor covered by the program had dropped from 63 percent in...
Published: 01 February 2006
DOI: 10.1215/9780822387633-009
EISBN: 978-0-8223-8763-3
... 9 Block Grants and the New Federalism Financial Crisis The compromised amendments to Medicaid produced by the Carter administration failed to rectify many of the program’s festering prob- lems. By...
Book Chapter

By Jonathan Engel
Published: 01 February 2006
DOI: 10.1215/9780822387633-013
EISBN: 978-0-8223-8763-3
... Social Security Bulletin WHCF (JC) White House Central Files, Carter Library WHCF (LBJ) White House Central Files, Johnson Library WR William Roper Papers, Reagan Library Preface 1 Robert Pear, ‘‘Rising Costs Prompt States to Reduce Medicaid Further New York Times, 23...
Published: 01 February 2006
DOI: 10.1215/9780822387633-007
EISBN: 978-0-8223-8763-3
... 7 Health Planning and Community Medicine in the 1970s Gaps in Coverage in 1975 In its tenth year Medicaid could boast of multiple accomplishments. The long-running disparity...
Published: 01 February 2006
DOI: 10.1215/9780822387633-006
EISBN: 978-0-8223-8763-3
... 6 Charity Care and Comprehensive Reform under Nixon Charity Care in 1969: A Snapshot By 1969 the Medicaid program was posting a mixed record of success and failure. Vital...
Published: 01 February 2006
DOI: 10.1215/9780822387633-008
EISBN: 978-0-8223-8763-3
... or play’’ plans. At the same time, he recognized the potential savings to be wrung out of ine≈cient administration and superfluous hospital building. But un- realistically, Carter committed himself to unimpeded access to physicians for all consumers, be they Medicaid patients, private...
Published: 17 April 2002
DOI: 10.1215/9780822383536-003
EISBN: 978-0-8223-8353-6
..., covered and not covered Total, covered Private Employment based Public (government) Medicare Medicaid...
Book Chapter

By Jonathan Engel
Published: 01 February 2006
DOI: 10.1215/9780822387633-015
EISBN: 978-0-8223-8763-3
... for (1960s), 78–85; health and, 195; barriers to, 45, 90–91; for status of (1980s), 173–75, 193–97; children, 5, 18–19, 213; hard-to-reach income of, 79–80; infant mortality groups and, 69, 90–91; health insur- and, 83, 179, 193–94; Medicaid rates ance and, 15; income level and, 4–5; for...
Published: 17 November 2003
DOI: 10.1215/9780822385028-008
EISBN: 978-0-8223-8502-8
..., and his writing presaged (although was apparently not invoked during) the debates over the enactment of Medicare and Medicaid in 1965. My purpose in this essay is to explore the possibility that Arrow’s insurance arguments turned out to be in significant tension with his ethical arguments...
Book Chapter

By Jonathan Engel
Published: 01 February 2006
EISBN: 978-0-8223-8763-3
... legislation which created the mod- ern Medicaid program in 1965, the nation has increased federal subsidies to the states which administer the Medicaid programs, implemented new early screening and care programs, expanded eligibility, and subsidized services unimaginable at the time of the program’s...
Published: 01 February 2006
DOI: 10.1215/9780822387633-004
EISBN: 978-0-8223-8763-3
... 4 Hard-to-Reach Groups Among the failures of Medicaid in its early years was its inability to reach certain populations of poor people who were unable, or unwilling, to use the nation’s health care...
Book Chapter

By Eleanor DeArman Kinney
Published: 17 April 2002
DOI: 10.1215/9780822383536-012
EISBN: 978-0-8223-8353-6
..., resolve consumer disputes; Pro- 48–49, 117. See also Administrative cedural reforms law; Judicial review; Rulemaking Accreditation, 36, 44–45, 81–82, 86– Administrative review, 8, 131–139, 86, 96, 118–119, 126; of health care 163; Medicaid, 139; Medicare, 138...
Published: 15 September 1993
DOI: 10.1215/9780822381815-005
EISBN: 978-0-8223-8181-5
...• retical terms and through the examination of Medicaid policy reform in the state of Oregon from 1989 to 1991. My discussion will proceed in two stages. First, I sketch a conceptual framework for policy analysis as a discourse of counsel, using the term counsel as a term of art. Next, I discuss in some...