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Abbreviations | |
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Acknowledgments | |
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Introduction: The Medicaid Story | |
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The Political Economy of Welfare Medicine | |
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Devolution of Power | |
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The (Many) Hands in the Till | |
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The Disregarded Stakeholders: Low-Income Households | |
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Social Location: Gender and Race | |
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Public Opinion and Partisan Politics | |
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Overview and Organization of the Book | |
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The Launching of Medicaid: 1965 to 1980 | |
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National Health Care: Early Failures | |
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The Social Security Amendments of 1965: Medicare and Medicaid | |
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Medicaid: More Than a Welfare Program? | |
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Cost Shifting: Paying Welfare Medicine's Bill | |
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Stemming the Cash Flow | |
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National Health Care Strikes Again | |
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Disillusionment | |
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Reimbursement and Provider Participation | |
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The Powerful Stakeholders | |
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Combating Fraud | |
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Quality of Care | |
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Conclusion: Emerging Questions | |
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From Reagan to Clinton: The Low-Income Health Program on Trial | |
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Welfare Medicine on the Defensive | |
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Congress, Mandates, and Expansionary Politics | |
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Devolution: Fiscal Crisis in the States | |
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The States Strike Back | |
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Confrontation: The Emergence of the "New Right" | |
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The End of Welfare as We Know It | |
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Resumption of Expansionary Medicaid Politics | |
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Conclusion: The Ebb and Flow of Welfare Medicine | |
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Welfare Medicine in the Twenty-first Century | |
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Destabilizing Medicaid | |
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Welfare Medicine in the States | |
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Expanding Coverage | |
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Dismantling the Program | |
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Children First | |
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Conclusion: Smokescreens and Mirrors | |
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Better Than Nothing? Who Gets What, When, How, and Where | |
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Who Is Covered: Barriers to Participation | |
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Impediments to Obtaining Services | |
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Restricted Benefit Packages | |
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Welfare Medicine: Universal Problem Solver | |
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Conclusion: Good Enough? | |
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Long-Term Care: Medicaid's Eight-Hundred-Pound Gorilla | |
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Long-Term Care in the United States | |
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The Middle Class as Stakeholders | |
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The Growth of Home- and Community-Based Services | |
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Hidden Costs: Informal Caregivers | |
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D�j� Vu: Counting on the Marketplace | |
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Conclusion: Reckoning with Long-Term Care | |
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Quality of Care: Does Welfare Medicine Measure Up? | |
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Second-Rate Care | |
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Skimping on Services: Managed Care | |
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Serving Frail Elders and the Disabled | |
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Gaming the System | |
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Program Integrity | |
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Conclusion: Disregarding the Poor | |
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The Energizer Bunny: Medicaid and the Health Economy | |
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The Medicaid Medical Industrial Complex | |
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Economic Engine for the States | |
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Conclusion: Stakeholders and Welfare Medicine | |
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The Buck Stops Where? | |
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Tug-of-War: Paying the Bill | |
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Medicare and Welfare Medicine | |
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Combat Within and Among the States | |
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Encumbering the Poor | |
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Dodging Responsibility: The Private Sector | |
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Conclusion: Paying the Bill | |
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Conclusion: Medicaid and the Future of Health Care in the United States | |
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Welfare Medicine: Promise and Performance | |
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Devolution: The Fiscal and Political Incapacity of States | |
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The U.S. Health Care System: Broken and Dysfunctional | |
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If It's Broke, Fix It: The Need for National Health Care | |
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Glossary | |
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Notes | |
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Bibliography | |
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Index | |