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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 | |