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Between welfare medicine and mainstream entitlement: Medicaid at the political crossroads

, : Between welfare medicine and mainstream entitlement: Medicaid at the political crossroads. Journal of Health Politics, Policy and Law 28(5): 821-858

As the new century begins, the Medicaid program is arguably at a political crossroads. Over the 1980s and 1990s, policy makers enacted major expansions in Medicaid coverage, offering significant new health benefits to poor women and children and other constituencies. In elite rhetoric and political framing, Medicaid was increasingly cast as a broad-based social welfare entitlement of value to all Americans, including middle-class citizens. Some health care advocates began viewing Medicaid expansions as a potential path to achieving universal coverage in the United States. Yet Medicaid remains a means-tested program that has been repeatedly threatened with policy retrenchment. In this essay, we scrutinize Medicaid's current status and future possibilities from a historical-institutional perspective by tracing its complex evolution since its enactment in the Social Security Amendments of 1965. Our core claim is that decisions made at the time of Medicaid's original adoption have fundamentally set the matrix for struggles over the program's unfolding development. We demonstrate that key ambiguities embedded in the 1965 act created largely unintended opportunities for policy entrepreneurs to broaden Medicaid's scale and scope as well as foreseeable vulnerabilities that must be overcome if Medicaid is to realize its full potential.


PMID: 14604214

Other references

Skreb, Y.; Radesić, L.; Racić, J., 1975: Autoradiographic studies of 3H-uridine uptake by human cells in tissue culture treated with puromycin (puro and pan) and x-radiation. Arhiv Za Higijenu Rada i Toksikologiju 26(1): 3-13

Siomek, A.; Gackowski, D.; Rozalski, R.; Dziaman, T.; Szpila, A.; Guz, J.; Olinski, R., 2007: Higher leukocyte 8-oxo-7,8-dihydro-2 '-deoxyguanosine and lower plasma ascorbate in aging humans?. Is oxidative damage of DNA responsible for physiological changes associated with aging? The authors note a positive correlation between the age of human subjects with the level of 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG) in leukocyte DN...

Trela, J.; Choroszy, Z.; Bielak, F.; Choroszy, B., 1993: Quality standards in cattle breeding and production of milk and meat in Poland. In 1993 Polish cattle numbered 7.8 million, including 3.8 million cows. Adverse economic conditions have caused livestock numbers to decrease. It is noted that genetic improvements resulting from breeding programmes have not occurred at the same r...

Fedotova, R.L.; Rybakova, NA.; Radchenko, NM.; Baldicheva, GA.; Novikova, TV., 2002: Epizootological and epidemiological situation for diphyllobothriosis in the territory of Vologda region. Morbidity rate of the Vologda region population of diphyllobothriosis is twice as high as the average index for Russia and it has no tendency for lowering during the last 5 years. Spreading of diphyllobothriosis in the territory of Vologda region...

Neuhaus, H., 1955: On oral therapy of psoriasis. Zeitschrift für Haut- und Geschlechtskrankheiten 19(6): 180-183

Okulski, W.; Sujak, A.; Gruszecki, W.I., 2000: Dipalmitoylphosphatidylcholine membranes modified with zeaxanthin: Numeric study of membrane organisation. The model of a dipalmitoylphosphatidylcholine (DPPC) bilayer containing a xanthophyll pigment zeaxanthin (ZEA) is proposed. The model is based on the ten-state Pink-Green-Chapman model of a lipid monolayer. The Monte Carlo method of computer simul...

Geare, A.J., 1972: Seasonal influences on strike intensity in New Zealand. The findings of the present paper support the earlier theory. Seasonal freezing workers are employed because of the large number of lambs sent for freezing from December to March. However, the peak slaughter season for cattle and calves is in the...

Akar, E.; Kara, Sık.; Akdemir, H.; Kırış, A., 2016: Fractal dimension analysis of cerebellum in Chiari Malformation type I. Chiari Malformation type I (CM-I) is a serious neurological disorder that is characterized by hindbrain herniation. Our aim was to evaluate the usefulness of fractal analysis in CM-I patients. To examine the morphological complexity features of th...

Takahashi, T.; Suzuki, K.; Ihara, H.; Mogami, H.; Kazui, T.; Urano, T., 2005: Plasminogen activator inhibitor type 1 promotes fibrosarcoma cell migration by modifying cellular attachment to vitronectin via alpha(v)beta(5) integrin. Both urokinase plasminogen activator (u-PA) and plasminogen activator inhibitor type 1 (PAI-1) are associated with a poor prognosis in cancer patients. We demonstrate that PAI-1 inhibits human fibrosarcoma cell (HT-1080) adhesion to vitronectin (V...

Vander Borght, C., 2000: The challenge of writing. Soins. Formation, Pedagogie, Encadrement 30): 13-14