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History Leading Up To Medicaid Essay

1865 words - 7 pages

History leading up to Medicaid
What exactly is Medicaid? Medicaid is the largest health insurance in the United States, and it services many low-income families. This government health program is state regulated and varies among states due to having their own guidelines. Medicaid was signed into law on July the 30th, 1965. Medicaid’s guidelines come from the old Welfare law. “Medicaid has never matched that of food stamps, for which eligibility standards are linked to financial need alone. As Smith and Moore explains, the federal government, using its extraordinary demonstration powers under section 1115 of the Social Security Act, has allowed states to experiment with “decategorization” over the years, but Medicaid’s statutory bar against coverage of poor adults remains perhaps its most obvious failure” (Rosenbaum). Regardless of the many faults of this programs design, Medicaid helps close to 60 million low-income families in the United States. The people it helps would include: pregnant women, young children and their parents, the disabled, and the elderly, and other members of society that have low income. Medicaid is involved in many pregnancies and newborn care from a financial standpoint. It allows parents to have medical care for the child while in a low-income household. Medicaid has a huge impact on each states health systems and is used in a wide variety of ways.
Relevant actors and agencies, and their preferred positions regarding this policy
“Health and Human Services, United States Department of, federal executive department charged with administering government health programs. Successor to the Department of Health, Education, and Welfare, which had been created in 1953, it was redesigned in 1979 with the creation of the Department of Education. The secretary advises the President on health and welfare matters” (Health And Human Services). There are many different branches of Medicaid that are all linked together. The agency of Health and Human Services oversees all of the programs associated with Medicaid. Also the Health And Human Services acknowledges that, “The Centers for Medicare and Medicaid Services administers Medicare and Medicaid”. However underneath the Medicaid umbrella there are many more programs. For example the SCHIP is for children from birth till the age of eighteen. The LAmoms is just for parent women who live in Louisiana and every state has their own particular program for pregnant women, and also the disabled adults program; which is for adults who are disabled and are on a fixed income. The three programs just are just a few from the many that currently exist under the big Medicaid umbrella. The actors in Medicaid are the doctors, the hospitals, and any healthcare provider, “Physicians may also see negative consequences. Hospitals in states that do not expand Medicaid will continue to absorb uncompensated care costs, a problem that will be compounded by the ACA-mandated decrease in...

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