Medicaid at the Crossroads

Colleen Grogan and Eric Patashnik

in Healthy, Wealthy, and Fair

Published in print April 2005 | ISBN: 9780195170665
Published online October 2011 | e-ISBN: 9780199850204 | DOI:
Medicaid at the Crossroads

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This chapter scrutinizes Medicaid's future possibilities by probing its political and administrative evolution over the past 35 years. It argues that decisions made at the time of Medicaid's enactment in 1965 have set the matrix for struggles over the program's development. First, the chapter examines the key provisions of the 1965 Social Security Act that have influenced the program's development since its original adoption. It then examines social policy making that emerged during the 1980s as a result of Medicaid's initial trajectory. This is followed by an examination of the incremental Medicaid expansions that were adopted during the 1980s. These expansions gave rise to a new political dynamic in the 1990s. The chapter concludes with a brief assessment of Medicaid's potential to expand health-care access and reduce health inequalities in the future.

Keywords: Medicaid; Social Security; policy making; health care; health inequalities

Chapter.  10855 words. 

Subjects: US Politics

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