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Medicaid: Difference between revisions

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(Created page with "{{Short description|United States social health care program for families and individuals with limited resources}} {{Distinguish|Medicare (United States)}} {{Use mdy dates|date=September 2014}} {{Infobox government agency | name = Medicaid | logo = Centers for Medicare and Medicaid Services logo.svg | formed = {{Start date and age|1965|07|30}} | chief1_name = Chiquita Brooks-LaSure | chief1_position = Administrator | headquarters...")
 
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==== Political influences ====
==== Political influences ====
Several political factors influence the cost and eligibility of tax-funded health care. According to a study conducted by Gideon Lukens, factors significantly affecting eligibility included "party control, the ideology of state citizens, the prevalence of women in legislatures, the line-item veto, and physician interest group size". Lukens' study supported the generalized hypothesis that [[Democratic Party (United States)|Democrats]] favor generous eligibility policies while [[Republican Party (United States)|Republicans]] do not.<ref>{{cite journal|last1=Lukens|first1=G.|date=23 September 2014|title=State Variation in Health Care Spending and the Politics of State Medicaid Policy|journal=Journal of Health Politics, Policy and Law|volume=39|issue=6|pages=1213–1251|doi=10.1215/03616878-2822634|pmid=25248962}}</ref> When the Supreme Court allowed states to decide whether to expand Medicaid or not in 2012, northern states, in which Democratic legislators predominated, disproportionately did so, often also extending existing eligibility.<ref name=":11" />
Several political factors influence the cost and eligibility of tax-funded health care. According to a study conducted by Gideon Lukens, factors significantly affecting eligibility included "party control, the ideology of state citizens, the prevalence of women in legislatures, the line-item veto, and physician interest group size". Lukens' study supported the generalized hypothesis that Democrats favor generous eligibility policies while [[Republican Party (United States)|Republicans]] do not.<ref>{{cite journal|last1=Lukens|first1=G.|date=23 September 2014|title=State Variation in Health Care Spending and the Politics of State Medicaid Policy|journal=Journal of Health Politics, Policy and Law|volume=39|issue=6|pages=1213–1251|doi=10.1215/03616878-2822634|pmid=25248962}}</ref> When the Supreme Court allowed states to decide whether to expand Medicaid or not in 2012, northern states, in which Democratic legislators predominated, disproportionately did so, often also extending existing eligibility.<ref name=":11" />


Certain states in which there is a Republican-controlled legislature may be forced to expand Medicaid in ways extending beyond increasing existing eligibility in the form of waivers for certain Medicaid requirements so long as they follow certain objectives. In its implementation, this has meant using Medicaid funds to pay for low-income citizens' health insurance; this private-option was originally carried out in Arkansas but was adopted by other Republican-led states.<ref name=":11">{{cite journal |last1=Rose |first1=Shanna |title=Opting In, Opting Out: The Politics of State Medicaid Expansion |journal=The Forum |date=1 January 2015 |volume=13 |issue=1 |pages=63–82 |doi=10.1515/for-2015-0011 |s2cid=147364036 }}</ref> However, private coverage is more expensive than Medicaid and the states would not have to contribute as much to the cost of private coverage.<ref>{{cite journal |last1=Zaloshnja |first1=Eduard |last2=Miller |first2=Ted R. |last3=Coben |first3=Jeffrey |last4=Steiner |first4=Claudia |title=How Often Do Catastrophic Injury Victims Become Medicaid Recipients? |journal=Medical Care |date=June 2012 |volume=50 |issue=6 |pages=513–519 |doi=10.1097/MLR.0b013e318245a686 |pmid=22270099 |jstor=23216705 |s2cid=33723607 }}</ref>
Certain states in which there is a Republican-controlled legislature may be forced to expand Medicaid in ways extending beyond increasing existing eligibility in the form of waivers for certain Medicaid requirements so long as they follow certain objectives. In its implementation, this has meant using Medicaid funds to pay for low-income citizens' health insurance; this private-option was originally carried out in Arkansas but was adopted by other Republican-led states.<ref name=":11">{{cite journal |last1=Rose |first1=Shanna |title=Opting In, Opting Out: The Politics of State Medicaid Expansion |journal=The Forum |date=1 January 2015 |volume=13 |issue=1 |pages=63–82 |doi=10.1515/for-2015-0011 |s2cid=147364036 }}</ref> However, private coverage is more expensive than Medicaid and the states would not have to contribute as much to the cost of private coverage.<ref>{{cite journal |last1=Zaloshnja |first1=Eduard |last2=Miller |first2=Ted R. |last3=Coben |first3=Jeffrey |last4=Steiner |first4=Claudia |title=How Often Do Catastrophic Injury Victims Become Medicaid Recipients? |journal=Medical Care |date=June 2012 |volume=50 |issue=6 |pages=513–519 |doi=10.1097/MLR.0b013e318245a686 |pmid=22270099 |jstor=23216705 |s2cid=33723607 }}</ref>