This paper explores the access and equity implications to the poor and taxpayers of further defederalizing Medicaid program administration. New data on enrollees and tax incidence indicates little horizontal, let alone vertical, equity in the system. Styles of cost control are also examined, showing a systematic bias towards providers and taxpayers at the expense of the poor in penurious states.
Research Article|February 01 1987
Defederalizing Medicaid: Fair to the Poor, Fair to Taxpayers?
J Health Polit Policy Law (1987) 12 (1): 1-34.
Jerry Cromwell, Sylvia Hurdle, Rachel Schurman; Defederalizing Medicaid: Fair to the Poor, Fair to Taxpayers?. J Health Polit Policy Law 1 February 1987; 12 (1): 1–34. doi: https://doi.org/10.1215/03616878-12-1-1
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