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Medicaid Politics - Federalism, Policy Durability, and Health Reform (Paperback, New)
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Medicaid Politics - Federalism, Policy Durability, and Health Reform (Paperback, New)
Series: American Governance and Public Policy series
Expected to ship within 12 - 17 working days
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Medicaid, one of the largest federal programs in the United States,
gives grants to states to provide health insurance for over 60
million low-income Americans. As private health insurance benefits
have relentlessly eroded, the program has played an increasingly
important role. Yet Medicaid's prominence in the health care arena
has come as a surprise. Many astute observers of the Medicaid
debate have long claimed that "a program for the poor is a poor
program" prone to erosion because it serves a stigmatized,
politically weak clientele. Means-tested programs for the poor are
often politically unpopular, and there is pressure from fiscally
conservative lawmakers to scale back the 350-billion-per-year
program even as more and more Americans have come to rely on it.
For their part, health reformers had long assumed that Medicaid
would fade away as the country moved toward universal health
insurance. Instead, Medicaid has proved remarkably durable,
expanding and becoming a major pillar of America's health insurance
system. In "Medicaid Politics", political scientist Frank J.
Thompson examines the program's profound evolution during the
presidential administrations of Bill Clinton, George W. Bush, and
Barack Obama and its pivotal role in the epic health reform law of
2010. This clear and accessible book details the specific forces
embedded in American federalism that contributed so much to
Medicaid's growth and durability during this period. It also looks
to the future outlining the political dynamics that could yield
major program retrenchment.
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