MARC record from Internet Archive

LEADER: 04339cam 2200637 a 4500
001 ocn156808352
003 OCoLC
005 20201025010439.0
008 070810s2008 nju b 001 0 eng
010 $a 2007033055
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050 00 $aRA412.4$b.S55 2008
060 00 $a2008 A-969
060 10 $aW 250 AA1$bS645m 2008
082 00 $a368.4/200973$222
084 $aR199.712$2clc
100 1 $aSmith, David G.,$d1926-
245 10 $aMedicaid politics and policy, 1965-2007 /$cDavid G. Smith, Judith D. Moore.
246 3 $aMedicaid politics and policy
260 $aNew Brunswick, N.J. :$bTransaction Publishers,$c©2008.
300 $axiv, 444 pages ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
338 $avolume$bnc$2rdacarrier
504 $aIncludes bibliographical references (pages 423-432) and index.
505 0 $aPreface -- Acknowledgments -- 1: Historical background -- 2: Legislating Medicaid -- 3: Medicaid implementation -- 4: Amending the classical model -- 5: Maturity and trouble -- 6: Critical phase -- 7: Medicaid under siege -- 8: Devolution and waivers -- 9: Past and future -- 10: Postscript -- Glossary -- Bibliography -- Index.
520 $aOverview: Medicaid is a story worth telling, one rooted in American history and shaped by its culture and institutions. It has dramatic interest, heroes and heroines, triumphs and tragedies. The authors make this story come alive for the reader by providing a strong connected narrative, detailed accounts of important policy changes, and extensive use of interviews with individuals close to events. They emphasize politics and policy along with history. History is important because Medicaid has developed incrementally, layer by layer, so that almost any provision or activity needs a historical gloss to understand it. The Medicaid program has been especially subject to outside political and policy influences: the state of the economy, trends in federalism, developments in health or welfare programs, and the electoral cycle. Politics helps us understand policy outcomes. But the two go together: a knowledge of policy helps to understand what is at stake, and a knowledge of politics what is possible. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. Medicaid has the flexibility to adapt (or be adapted) as well as a capacity to defend incremental and opportunistic gains. At the same time, the program lacks an effective mechanism for overall reform. It has grown enormously since its inception to become the largest health insurance system in the country, a source of perennial complaint and, most recently, of continuing crisis. The dual emphasis upon politics and policy is important to make the arcane Medicaid program accessible to the reader, and to distinguish policy grounded in facts and analysis from partisan bombast and ideology. The result is an authoritative account and reference for those seeking to refresh a perspective or to look further.
650 0 $aMedicaid.
650 12 $aMedicaid.
650 22 $aHealth Policy.
650 22 $aPolitics.
651 2 $aUnited States.
650 7 $aMedicaid.$2fast$0(OCoLC)fst01013657
650 07 $aGesundheitspolitik.$2swd
650 07 $aMedicaid.$2swd
651 7 $aUSA.$2swd
700 1 $aMoore, Judith D.
856 41 $3Table of contents$uhttp://catdir.loc.gov/catdir/toc/ecip0724/2007033055.html
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