The Reluctant Welfare State

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The United States is sometimes described as a “reluctant welfare state.” I agree with this statement. Too often there are programs created by our government that, although may be lined with good intentions, end up failing in their main purpose. The government may, and hopefully does, seek to help its citizens. However, by applying unreasonable qualifying or maintenance criteria, or too many restrictions that bar people from even receiving aid at all, they end up with many more problems than solutions. Three examples of policies that do this are: Medicare, No Child Left Behind, and TANF, or the Temporary Assistance for Needy Families.

Medicare is health insurance for people age 65 or older, under age 65 with certain disabilities and people of any age with End-Stage Renal Disease. There are four subcategories of Medicare. Part A is for hospital stays or, with certain restrictions, at-home care for a limited number of days. Part B is more like regular medical insurance. It covers ambulatory care and physician fees. There is a deductible and are sometimes co-pays as well. Part C is presented as an alternative to parts A and B. It is where private insurance companies can contract with the federal government to offer Medicare benefits through their own policies. It can offer benefits not covered under original Medicare, although there might be a premium charged. Part D is the prescription plan for enrollees. (Centers for Medicare and Medicaid Services, 2010)

Medicare Part A is meant to be a major medical hospitalization plan that is offered to everybody US citizen that has turned 65 years old. It covers inpatient care in hospitals and skilled nursing facilities, hospice care, some home health care services, a semi-...

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