Medicaid is currently the largest source of funding for medical and health related services for people in the United States with low-income, disabilities, nursing home and community-based long-term care. Medicaid has been referred to as a safety net for the needy. As a parent of a disabled child, I have a personal interest in the Medicaid system, its history, current functioning, and future plans.
The history of Medicaid dates back to the early 1960’s with Lyndon Johnson’s reform movement, coined the “Great Society”. The goal of Johnson’s reform program was to eliminate poverty and racial injustice and for all citizens to reap the benefits of prosperity. Johnson worked with the Office for Economic Opportunity to give the poor a voice in housing, health, and education programs declaring, “The administration today, here and now, declared unconditional war on poverty in America”.
While President Harry Truman had proposed a centralized health care scheme in the late 1940’s, the bill failed to pass in Congress. With Lyndon Johnson’s strong leadership and gift of persuasion, Congress enacted both Medicare and Medicaid on July 30th, 1965 as amendments to the Social Security Act. Medicare and Medicaid became the United States first public health insurance programs. Medicaid became a federal-state partnership program in which voluntarily participating states would receive grants for those eligible in a state to access a defined set of medical and long-term care benefits. (http://kaiserfamilyfoundation.files.wordpress.com/2008/04/5-02-13-medicaid-timeline.pdf).
During the 1970’s Medicaid began to cover care for people in intermediate care facilities. Also the SSI Program of Assistance for Elderly and Disabled was established. In 1981, ...
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...lth and pays for hospital visits and long term care if needed.
As of February 2014, three million previously uninsured citizens had signed up for Medicaid and CHIP (Children’s Health Insurance Program) programs. Unfortunately, 5.7 million people will be uninsured in 2016 because 24 States have chosen not to expand Medicaid. (http://www.whitehouse.gov/the-press-office/2014/04/17/fact-sheet-affordable-care-act-numbers) A report in USA Today (4/30/14) proposed that “states that have not expanded their Medicaid programs as part of the Affordable Care Act risk larger-than-ever gaps in overall health between residents of their states and those that have expanded Medicaid… it is possible that geographic disparities in performance will widen, and health care inequities within states worsen, if such health system reforms and innovations are not evenly spread across states.”
The leadership’s decision not to expand Medicaid leaves between 300,000 and 400,000 South Carolinians without health insurance (South Carolina Medical Association, 2012). The stated intent of the Affordable Care Act, pejoratively dubbed “Obamacare” by its critics, was to put affordable health care within reach of more of the 40 million Americans who lacked health insurance. The law’s grand design included an assumption that states would expand their Medicaid programs, since the federal government would pay 100 percent of the expansion costs through 2016, and 90 percent thereafter. But in demonstrating its traditional mistrust of Washington’s promises, Columbia declined the offer and, in the process, left thousands of low-income workers without the means to obtain health coverage, either because they cannot afford the premiums or because their employers do not provide it. (Advisory Committee, 2013). Ironically, in a state where the median annual income is $44,600, South Carolina’s working poor earn too much money to qualify for Medicaid; however, they would be covered under the ACA model (Hailsmaier and Blasé, 2010).
The bill created a Job Corps similar to the New Deal Civilian Conservation Corps; a domestic peace corps; a system for vocational training. The bill also funded community action programs and extended loans to small businessmen and farmers. This helped people to get jobs with good wages.Then came the Medicare Act of 1965 which help people to get better health coverage. “No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years” (1) In 1964 more than 44 percent senior had no health coverage or insurance. Senior citizens were dragged down to poverty as they were not able to pay the medical bills. But after the Medicare Act of 1965 which provide everyone with the medical coverage of all people age 65 and above this issue was almost solved. Along with the Medicare, the Johnson Administration established the Medicaid program to provide healthcare to the poor. Different from Medicare, this Federal-state partnership is largely determined in form and construct by each individual state. In the first three years of the program, nearly 20 million beneficiaries were enrolled
Summary: Medicaid for Millionaires briefly touches on one of the many problems facing the U.S. and its current Medicaid policy. The articles begins by acknowledging the fact that Medicaid was originally formed in 1965 with the intent of providing medical care just for the poor, and how lately this hasn’t been the case. Today were finding out how more of societies upper-class are discovering ways to receive Medicaid benefits as well. The system is being called “Asset-Shifting”, were anyone is allowed to give away most of their assets (no matter the cost) to someone else and three years later claim the same medical benefits being set aside for the poor. As quoted in the article “there’s an entire industry being dedicated to making sure that other taxpayers, not they, be responsible for paying the nursing-home needs of the rich“. Though morally questionable, more and more Medical Planners today directly counsel their well-off clients on how to take advantage of this loop-hole in our system. A more troubling fact is that of the 100% of the less fortunate that occupy the scarcer Medicaid beds being provided by the government, 70% of those in well kept nursing homes receive the same exact Medicaid benefits. Many government officials have tried to stop this on going trend by passing laws during the 90’s that required states to recover the cost of benefits from the estates of those who attempt asset shifting, however failing miserably due to half-hearted efforts.
There are several issues concerning the uninsured and underinsured patient population in America. There are many areas of concern the congressional efforts to increase the availability of health insurance, the public image of the insurance industry illustrated by the movie "John Q", the lack of good management tools, and creating health insurance coverage for all low income Americans. Since the number of uninsured Americans has risen to 43 million from 37 million in the flourishing 1990s and could shoot up even more severely if the economy continues to decrease and health care premiums keep increasing (Insurance No Simple Fix, 2001).
Implemented (along with Medicare) as a part of the Social Security Amendments of 1965, Medicaid’s original purpose was to improve the health of the working poor who might otherwise go without medical care for themselves and their families. Medicaid also assisted low income seniors with cautionary provisions that paid for the costs of nursing facility care and other medical expenses such as premiums and copayments that were not covered through Medicare. Eligibility for Medicaid is usually based on the family’s or individual’s income and assets. When the ACA came into effect in 2010, it began to work with the states to develop a plan to better coordinate the two ...
Above all, if all states have decide to follow through ObamaCare's Medicaid Expansion they will conjointly pay $76 billion to insure up to 21.3 Million individuals who don't have access to health insurance for over the next decade. Regardless of what state, the federal government will help pay for 93% of the state cost of healthcare. Medicaid Expansion is a great way to help families below the federal poverty line get insurance and stay healthy. Without it, they will fall between the cracks forcing them to use Obamacare. In that case, it is projected to drive up cost of insurance for Americans.
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be
Medicaid is a broken system that is largely failing to serve its beneficiary’s needs. Despite its chronic failures to deliver quality health care, Medicaid is seemingly running up a gigantic tab for tax payers (Frogue, 2003). Medicaid’s budget woes are secondary to its insignificant structure, leaving its beneficiaries with limited choices, when arranging for their own health care. Instead, regulations are set in order to drive costs down; instead of allowing Medicaid beneficiaries free rein to choose whom they will seek care from (Frogue, 2003)
Since 1935, the U.S. government has modified the Social Security Act more than 20 times by major amendments. One of the first amendments, passed in 1939, added benefit support for the family members of retired workers and for survivors of deceased workers. In 1956, under President Dwight Eisenhower, the U.S. Congress added monthly benefits for disabled workers to Social Security. Along with the amendment of 1939 for benefits to family members and survivors, this new amendment created the form of Social Security that still exists today, which is known as Old-Age, Survivors and Disability Insurance (OASDI). In 1965, President Lyndon Johnson signed an amendment that created Medicare. Medicare is a program that provides hospital insurance to the elderly, along with supplementary medical insurance for other medical costs. During the 1970s and 1980s, concern arose about the financial integrity of the Social Security trust funds. The balance was shifting between money coming in from taxes and benefits going out of the funds. The administration of President Ronald Reagan passed a set of major legislative changes to Social Security laws in 1983. These changes included the cancellation and, in some cases, taxation of certain benefits. The Congress also improvised a slight ...
Medicaid is an assistance program for low-income people regardless of age. A federally mandated program, Medicaid is run by state and local governments under the established federal guidelines. Income and resource levels are the primary means for each state to determine eligibility with the level varying from state to state. Eligibility is also affected by other factors such as age, whether you are pregnant, if you are blind or have other disabilities, and U.S. citizenship or lawful immigration status. Some states req...
Medicare is a national social insurance program, run by the U.S. federal government since 1966 that promises health insurance for Americans aged 65 and older and younger people with disabilities. Being the nation’s single largest health insurance program, covering a large population for a wide range of health services, Medicare's funding is a fundamental part of it sustainability. Medicare is comprised of several different parts, serving different purposes, some of which require separate funding. In general, people at the age of 65 and older who have been legal residents of the United States for at least 5 years are eligible for Medicare. Same is true with people that have disabilities under 65, if they receive Social Security Disability Insurance benefits. Medicare involves four parts: Part A is hospital insurance. Part B is additional medical insurance, that Part A doesn't cover. Part C health plans, also mostly known as Medicare Advantage, are another way for original Medicare beneficiaries to receive their Part A, B and D benefits. Medicare Part D covers many prescription drugs, some of which are covered by Part B. Medicare is a major operation, not only needing adequate administering but the necessary allocated funds to keep this massive system afloat.
Access to health care refers to the ease with which an individual can obtain needed medical services. Many Americans face barriers that make it difficult to obtain basic health care services. These barriers to services include lack of availability, high cost, and lack of insurance coverage. "Limited access to health care impacts people's ability to reach their full potential, negatively affecting their quality of life." (Access to Health Services, 2014) Access to health services encompasses four components that include coverage, services, timeliness, and workforce
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.