Poor People's Medicine Medicaid and American Charity Care since 1965

ISBN-10: 0822336952
ISBN-13: 9780822336952
Edition: 2006
Authors: Jonathan Engel
List price: $27.95
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Description: "Poor People's Medicine" is a detailed history of Medicaid since its beginning in 1965. Federally aided and state-operated, Medicaid is the single most important source of medical care for the poorest citizens of the United States. From acute  More...

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Book details

List price: $27.95
Copyright year: 2006
Publisher: Duke University Press
Publication date: 2/22/2006
Binding: Paperback
Pages: 344
Size: 5.75" wide x 9.00" long x 0.75" tall
Weight: 1.034
Language: English

"Poor People's Medicine" is a detailed history of Medicaid since its beginning in 1965. Federally aided and state-operated, Medicaid is the single most important source of medical care for the poorest citizens of the United States. From acute hospitalization to long-term nursing-home care, the nation's Medicaid programs pay virtually the entire cost of physician treatment, medical equipment, and prescription pharmaceuticals for the millions of Americans who fall within government-mandated eligibility guidelines. The product of four decades of contention over the role of government in the provision of health care, some of today's Medicaid programs are equal to private health plans in offering coordinated, high-quality medical care, while others offer little more than bare-bones coverage to their impoverished beneficiaries. Starting with a brief overview of the history of charity medical care, Jonathan Engel presents the debates surrounding Medicaid's creation and the compromises struck to allow federal funding of the nascent programs. He traces the development of Medicaid through the decades, as various states attempted to both enlarge the programs and more finely tailor them to their intended targets. At the same time, he describes how these new programs affected existing institutions and initiatives such as public hospitals, community clinics, and private pro bono clinical efforts. Along the way, Engel recounts the many political battles waged over Medicaid, particularly in relation to larger discussions about comprehensive health care and social welfare reform. "Poor People's Medicine" is an invaluable resource for understanding the evolution and present state of programs todeliver health care to America's poor.

Preface
Antecedents: Poverty and Early Poverty Care Programs
Precursors to Medicare and Medicaid
War on Poverty and the Genesis of Medicaid
Hard-to-Reach Groups
Redefining Health
Charity Care and Comprehensive Reform under Nixon
Health Planning and Community Medicine in the 1970s
Health and Welfare Reform in the Carter White House
Block Grants and the New Federalism
Recovering the Cuts, Managed Care, and Comprehensive Reform
Managed Medicaid, AIDS, and the Clinton Health Bill
Afterword
Notes
Bibliography
Index

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