The present study was undertaken for three reasons: Medicaid is a
vital program-in the early 1970s it provided care for over one
tenth of the American population. It is a huge program-in the same
period it consumed over nine billion dollars of public funds. And
Medicaid is, in many ways, the most direct involvement with the
provision of medical care undertaken by either the federal
government or the states. But until the publication of this book,
Medicaid had not been studied in depth or in a systematic way.
"Welfare Medicine in America" is the complete history of Medicaid.
The authors carefully examine the program's historical antecedents,
its strengths, and its weaknesses. In part one, "The Coming of
Medicaid," the hows and whys of the establishment of Medicaid are
discussed, as are the basic provisions of the program. In part two,
"The Euphoric Demise: July 1965-January 1968," the focus is on how
Medicaid is administered in the states. In part three, "The Storm:
January 1968-July 1970," specific amendments to Medicaid, the costs
involved, and other health programs are examined. And in part four,
"Benign Neglect: July 1970-June 1973," the role of the courts in
administering Medicaid, and its future, are the primary subjects.
This history of Medicare, however, goes beyond the specific
government program itself and offers a paradigm for inquiring into
the problems of medical care in general and the nature and
limitations of public medical services. "Welfare Medicine in
America" is a profound analysis of Medicaid and welfare systems,
and will be of great use to policymakers, students of welfare and
government, and to those working within the medical profession.
Robert Stevens is master of Pembroke College, Oxford, and serves as
counsel to the law firm Covington & Burling, where his practice
involves international commercial law and competition law. He has
also taught at Yale and Tulane Universities, and has authored many
articles and books, including studies of social legislation and the
legal profession in the United States and the United Kingdom.
Rosemary Stevens is professor emeritus of history and sociology of
science at the University of Pennsyvlania. Educated at Oxford,
Yale, and Manchester, she has also taught at Yale University and
Tulane University. She is the author of "American Medicine and the
Public Interest" and "In Sickness and in Wealth: American Hospitals
in the Twentieth Century."
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