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Welfare Reform: A Matter of Justice Medicaid. It is the United States Federal Government program to aid states in providing health care to the poor and impoverished who otherwise could not receive proper medical care. In 1995 the federal government spent a total of $77.4 Billion on Medicaid. This is up almost 300 percent from $20.1 Billion in 1984, only 10 years earlier. In the same 10 years state spending on Medicaid rose over 250 percent from $16.5 Billion to $58.2 Billion. Under the current Medicaid programs, Medicaid spending will increase at an annual rate of 10 percent, to an estimated $262 Billion by the year 2002. Medicaid spending has grown much faster than the general rate of inflation. For the Federal Government, Medicaid expenditures have grown from only 1 percent of the national budget in 1970 to over 6 percent in 1995, while state expenditures went from 8.1 percent to 13.5 percent in the same time span. This increase can be attributed to multiple factors. First, through a series of mandates, the Federal Government has expanded the eligibility for Medicaid, requiring states to serve more people. They also increased the standards required of nursing homes. This led to higher nursing home costs which were passed directly back to the Medicaid program. The current average cost to care for a patient in a nursing home is nine times greater than that of a single dependent child. The price of medical care, in general, has drastically increased. Expensive new technology and procedures are a large part of this increase. The need for these costly new technologies is not expected to decrease, the cost will just be passed on to the public through higher prices and higher Medicaid spending. And finally, an estimated 10 percent of Medicaid payments is wasted on fraud. This is mostly fraud by health care providers, with a minuscule amount from patients with forged documents. From 1985 to 1993 Medicaid enrollment has gone up 53 percent. In the early 1970's, Medicaid recipients were at 8 percent. Today more than 13 percent of the U.S. is receiving Medicaid's assistance. If there was no Medicaid, current cuts in employer sponsored medical coverage would have increased the uninsured population from 41 million today to an estimated 50 million pe... ... middle of paper ... ...n the same situation, and it remains acceptable, then this action is good. If someone had the means and was given the chance to aid another person who desperately needed it, would there be any circumstances in which it would be good not to offer your assistance. No rational human could refuse such an act (if they were using the categorical imperative to judge by). Medicaid is just a centralized system of doing just that. Even though it's not working to its best possible effect, could anyone refuse to take part? People, in this country, need to overlook their own greed. If they see that the money they work hard for is going towards bettering human life, even just one, I believe that should be reward enough. I don't believe that my money is being used to its best extent in respect to Medicaid. There needs to be major reforms in the way money is apportioned and used. There also needs to be a decrease in the need for Medical. Through incentives to businesses for providing health coverage to applicable employees, i think that this is an attainable goal. The current state of the Medicaid program is grim, but what would be the state of our nation without it.
Welfare can be defined as “systems by which government agencies provide economic assistance, goods, and services to persons who are unable to care for themselves” (Issitt). The United States welfare system is an extremely complex and unique entity that encompasses ideas and concepts from an abundance of different places. Many people believe the current system is an excellent resource for the population, while others believe the current welfare system requires reform and budget cuts to become effective.
Our Preamble lists five main goals that are required to help create a strong and stable society within our country. However, money is required in order to achieve these goals. We get this money from the Federal Budget which is the yearly amount we receive in order to better our country. The question here is, are we slicing the pie correctly in relation to the federal budget? In each of three budget clusters, the U.S Government should make adjustments in the way it is distributing money by making changes involving the Big Five, the Middle Five, and the Little Guys.
There have been numerous debates within the last decade over what needs to be done about welfare and what is the best welfare reform plan. In the mid-1990s the TANF, Temporary Assistance for Needy Families, Act was proposed under the Clinton administration. This plan was not received well since it had put a five year lifetime limit on receiving welfare and did not supply the necessary accommodations to help people in poverty follow this guideline. Under the impression that people could easily have found a job and worked their way out of poverty in five years, the plan was passed in 1996 and people in poverty were immediately forced to start looking for jobs. When the TANF Act was up for renewal earlier this year, the Bush administration carefully looked at what the TANF Act had done for the poverty stricken. Bush realized that, in his opinion, the plan had been successful and should stay in effect with some minor tweaking. Bush proposed a similar plan which kept the five year welfare restriction in place but did raise the budgeted amount of money to be placed towards childcare and food stamps. Both the TANF Act and Bush's revised bill have caused a huge controversy between liberal and conservative activists. The liberals feel that it is cruel to put people in a situation where they can no longer receive help from the government since so many people can not simply go out and get a job and work their way out of poverty. They feel if finding a job was that easy, most people would have already worked their way out of poverty. The conservatives feel that the plans, such as the TANF Act, are a surefire way to lower poverty levels and unemployment rates as well as decrease the amount o...
In the summer of 1996, Congress finally passed and the President signed the "Personal Responsibility and Work Opportunity Reconciliation Act of 1996", transforming the nation's welfare system. The passage of the Personal Responsibility and Work Opportunity Act sets the stage for ongoing reconstruction of welfare systems on a state-by-state basis. The combined programs will increase from nearly $100 billion this year to $130 billion per year in 6 years. Programs included are for food stamps, SSI, child nutrition, foster care, the bloss grant program for child- care, and the new block grant to take the place of AFDC. All of those programs will seek $700 billion over the next 6 years, from the taxpayers of America. This program in its reformed mode will cost $55 billion less than it was assumed to cost if there were no changes and the entitlements were left alone. The current welfare system has failed the very families it was intended to serve. If the present welfare system was working so well we would not be here today.
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 ...
Since the Welfare reform law was introduced in 1996 it has impacted American society greatly. The new welfare policy, named the Temporary Assistance to Needy Families (TANF), replaced the Aid to Family and Dependent Children (AFDC) program; they have five known differences that only affect the ones who need the assistance. Critics argue that the TANF has negatively impacted the society while some argue that it has not. Linda Burnham, author of “Welfare Reform, Family Hardship & Woman of Color,” asserts that “welfare reform has increased the hardship faced by many women leaving welfare for work and their movement into low-wage jobs, exposes them to higher level of housing insecurities, homelessness, food insecurity, and hunger.” She also argues that women of color “are especially vulnerable to the negative impact of welfare reform” (38).
The welfare of the people in America is put in the hands of the public administrators and political leaders of the United States. These public administrators and political leaders are voted into office to promote new bills and come up with solutions that will be in the best interest of the public’s welfare. When the subject of welfare is debated the first thought that comes to mind is giving underprivileged and disadvantaged people money to help them get out of a financial predicament and/or temporary unemployment. The welfare of the middle and upper class is not as common because the fact that people collect financial support from their employment. There are several biased assumptions about the welfare program in America that leave the subject open for discussion. Such as food stamps, and how low-income Americans are given our taxpaying money to provide food for their households. I’m against the Supplement Nutrition Assistance Program (SNAP) and what toll it’s putting on the taxpayers of America.
Welfare has been a safety net for many Americans, when the alternative for them is going without food and shelter. Over the years, the government has provided income for the unemployed, food assistance for the hungry, and health care for the poor. The federal government in the nineteenth century started to provide minimal benefits for the poor. During the twentieth century the United States federal government established a more substantial welfare system to help Americans when they most needed it. In 1996, welfare reform occurred under President Bill Clinton and it significantly changed the structure of welfare. Social Security has gone through significant change from FDR’s signing of the program into law to President George W. Bush’s proposal of privatized accounts.
Singer, M. (2014, January 13). Federal government sees big December surplus of $53.2 billion, pushing yearly deficit down. Newser. Retrieved January 27, 2014, from http://www.newser.com/article/fe7be9ba15314eccab1c8f71d1d4f4dd/federal-government-sees-big-december-surplus-of-532-billion-pushing-yearly-deficit-down.htmlChromeHTML/Shell/Open/Comm
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)
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...
The welfare system in the United States has had many problems arise in recent years and there has been nothing done to try and fix these issues. Welfare is supposed to be a financial boost for people who are struggling to survive by themselves. However, there are many people trying to take advantage of the system and use the money provided by the government for certain items that are not necessary to live. The other major problem is with the inefficient government that is so divided ideologically that nothing has been done to repair the system because both parties believe that their ideas are more effective than the others. In order to resolve the ongoing dispute of the welfare system, changes to the process of screening recipients and how the government conducts changes to the system have to be made.
...all need to take action and responsibilities of our own choice below any kind of situation we might be under because it will make us glad, it certainly worth it.
What Seems To Be The Problem? A discussion of the current problems in the U.S. healthcare system.