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Medicaid
History leading up to Medicaid
What exactly is Medicaid? Medicaid is the largest health insurance in the United States, and it services many low-income families. This government health program is state regulated and varies among states due to having their own guidelines. Medicaid was signed into law on July the 30th, 1965. Medicaid’s guidelines come from the old Welfare law. “Medicaid has never matched that of food stamps, for which eligibility standards are linked to financial need alone. As Smith and Moore explains, the federal government, using its extraordinary demonstration powers under section 1115 of the Social Security Act, has allowed states to experiment with “decategorization” over the years, but Medicaid’s statutory bar against coverage of poor adults remains perhaps its most obvious failure” (Rosenbaum). Regardless of the many faults of this programs design, Medicaid helps close to 60 million low-income families in the United States. The people it helps would include: pregnant women, young children and their parents, the disabled, and the elderly, and other members of society that have low income. Medicaid is involved in many pregnancies and newborn care from a financial standpoint. It allows parents to have medical care for the child while in a low-income household. Medicaid has a huge impact on each states health systems and is used in a wide variety of ways.
Relevant actors and agencies, and their preferred positions regarding this policy
“Health and Human Services, United States Department of, federal executive department charged with administering government health programs. Successor to the Department of Health, Education, and Welfare, which had been created in 1953, it was redesigned in 1979 wi...
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...ess Source Complete. Web. 18 Apr. 2014.
Lawton, Millicent. "Schools Fear Fiscal, Social Impact Of Medicaid Cuts." Education Week 15.8 (1995): 27. Academic Search Complete. Web. 18 Apr. 2014.
The Consequences Of Obamacare [Electronic Resource] : Impact On Medicaid And State Health Care Reform : Hearing Before The Committee On Energy And Commerce, House Of Representatives, One Hundred Twelfth Congress, First Session, March 1, 2011. n.p.: Washington : U.S. G.P.O., 2011., 2011. Louisiana State University. Web. 18 Apr. 2014.
"Health And Human Services, United States Department Of." Columbia Electronic Encyclopedia, 6Th Edition (2013): 1. Literary Reference Center. Web. 18 Apr. 2014.
Crowley, Ryan A., and William Golden. "Health Policy Basics: Medicaid Expansion." Annals Of Internal Medicine 160.6 (2014): 423-426. Academic Search Complete. Web. 18 Apr. 2014.
Provisions to expand Medicaid are central to legislation aiming to eliminate racial inequities. Minorities make up about one-third of the population, but account for over half of the total 47 million uninsured. This is a reflection of racialized economic structures that leave many minorities unable to afford insurance or access employer-based coverage. The ACA attempts to decrease the rate of uninsured for low-income individuals and families by expanding Medicaid to adults with incomes at or below 138 percent of the federal poverty line. Although this provision will help to expand coverage to some of the nations poorest individuals, the Supreme Court’s Decision to leave the choice to expand up to the states has a serious impact on the b...
Sommers, B. D., & Epstein, A. M. (2010). Medicaid expansion—the soft underbelly of health care reform. New England Journal of Medicine
Ghosh, C. (2013). Affordable Care Act: Strategies to Tame the Future. Physician Executive, 39(6), 68-70.
Reese, Philip. Public Agenda Foundation. The Health Care Crisis: Containing Costs, Expanding Coverage. New York: McGraw, 2002.
Gross, Grant. "HealthCare.gov's Problems: What We Know so Far." PCWorld. PCWorld, 7 Nov. 2013. Web. 24 Nov. 2013.
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
University of Wisconsin-Maddison. (2012). What does the affordable care act do for low income families? Retrieved from www.irp.wisc.edu/.../pdfs/FF15-2012.pdf
Angell, Marcia. "ObamaCare Confronts a Fiscal Crisis: Why the Affordable Care Act Doesn’t Add Up." New Labor Forum (Sage Publications Inc.) 22.1 (2013): 44-6. Print.
The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
Mehmud, S. M. & Neiman, D. (2013). The affordable care act in brief: A look into January 2014 changes. Benefits Quaterly, 29(2), p34-41.
There were changes made by the United States federal government make significant changes to the health care system. The expansion of Medicaid was more so for; lower-income, poor and children’s population. The reason for South Carolina to opt out of the Medicaid expansion because it will affect employers, a taxpayer, and the health industry due to increasing of federal funding that represents unambiguous benefits to South Carolina (SCHA, 2012). One of the challenges are increasing funding for the spending of new sources on the outside may not exist for South Carolina. The outside spending is a big economic component for growth, export, manufacturing, and national firm. Therefore, due to the increasing federal funding, South Carolina made the decision to opt out of Medicaid expansion (SCHA, 2012). This will increase federal funding in South Carolina choice to opt into Medicaid expansion to provide jobs and more income is the effect of the decision
Gardner, L., & Gilleskie, D. B. (2012). The Effects of State Medicaid Policies on the Dynamic Savings Patterns and Medicaid Enrollment of the Elderly. Journal Of Human Resources, 47(4), 1082-1127.
Under the Affordable Care Act one of the most important provisions is to expand health care to low income families through Medicaid. This could have an effect on over eight million people who do not have access to health care currently. However 25 states have decided against expanding Medicaid benefits, leaving 13.5 million people less likely to receive basic health care and preventative ...
ObamaCare Summary: A Summary of Obama's Health Care Reform. n.d. Web. 18 03 2014. .