Welfare Medicine In America (Ppr)

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Overview

The present study was undertaken for three reasons: Medicaid is a vital program-in the early 1970s it provided care for over one tenth of the American population. It is a huge program-in the same period it consumed over nine billion dollars of public funds. And Medicaid is, in many ways, the most direct involvement with the provision of medical care undertaken by either the federal government or the states. But until the publication of this book, Medicaid had not been studied in depth or in a systematic way.

Welfare Medicine in America is the complete history of Medicaid. The authors carefully examine the program's historical antecedents, its strengths, and its weaknesses. In part one, "The Coming of Medicaid," the hows and whys of the establishment of Medicaid are discussed, as are the basic provisions of the program. In part two, "The Euphoric Demise: July 1965-January 1968," the focus is on how Medicaid is administered in the states. In part three, "The Storm: January 1968-July 1970," specific amendments to Medicaid, the costs involved, and other health programs are examined. And in part four, "Benign Neglect: July 1970-June 1973," the role of the courts in administering Medicaid, and its future, are the primary subjects. This history of Medicare, however, goes beyond the specific government program itself and offers a paradigm for inquiring into the problems of medical care in general and the nature and limitations of public medical services.

Welfare Medicine in America is a profound analysis of Medicaid and welfare systems, and will be of great use to policymakers, students of welfare and government, and to those working within the medical profession.

Robert Stevens is master of Pembroke College, Oxford, and serves as counsel to the law firm Covington & Burling, where his practice involves international commercial law and competition law. He has also taught at Yale and Tulane Universities, and has authored many articles and books, including studies of social legislation and the legal profession in the United States and the United Kingdom.

Rosemary Stevens is professor emeritus of history and sociology of science at the University of Pennsyvlania. Educated at Oxford, Yale, and Manchester, she has also taught at Yale University and Tulane University. She is the author of American Medicine and the Public Interest and In Sickness and in Wealth: American Hospitals in the Twentieth Century.

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Editorial Reviews

From the Publisher

"Welfare Medicine in America is a comprehensive, policy-dense case study analysis of the Medicaid program from its genesis and passage as Title XIX of the Social Security Act of 1965, to its implementation in the late 1960s and its administration during the growing period of economic problems in 1973."
--Jonathan Gilbride, Nursing History Review

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Product Details

  • ISBN-13: 9780765809575
  • Publisher: Transaction Publishers
  • Publication date: 1/1/2003
  • Edition description: W/a New Introduction by Rosemary Stevens
  • Pages: 432
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.96 (d)

Meet the Author

Rosemary A. Stevens is a DeWitt Wallace Distinguished Scholar in social medicine and public policy at Weill Cornell Medical College, and Stanley I. Sheerr professor emeritus in the history and sociology of science at the University of Pennsylvania. Her writings have appeared in Harvard Business Review; Journal of Health Politics, Policies and Law;and American Journal of Public Health. In addition she is the author of numerous books, including The Public-Private Health Care State: Essays on the History of American Health Policy.

Rosemary A. Stevens is a DeWitt Wallace Distinguished Scholar in social medicine and public policy at Weill Cornell Medical College, and Stanley I. Sheerr professor emeritus in the history and sociology of science at the University of Pennsylvania. Her writings have appeared in Harvard Business Review; Journal of Health Politics, Policies and Law;and American Journal of Public Health. In addition she is the author of numerous books, including The Public-Private Health Care State: Essays on the History of American Health Policy.

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Table of Contents

Introduction to the Transaction Edition
Acknowledgments
Prologue
List of Acronyms
Pt. I The Coming of Medicaid
1 Competing Welfare Philosophies and the Provision of Medical Care 5
2 Public and Political Concern with Medical Care 19
3 The Federal Role: An Aphilosophical Expansion 42
4 Basic Provisions of Medicaid 57
Pt. II The Euphoric Demise: July 1965-January 1968
5 Implementation 75
6 The Beginning of Disillusion 91
7 Facilis Descensus Averno 108
Pt. III The Storm: January 1968-July 1970
8 The Scene in Washington 131
9 The Scene at the State and Local Level 156
10 Costs, Successes, and Scapegoats 183
11 Reassessments 212
Pt. IV Benign Neglect: July 1970-June 1973
12 Federal Administration 237
13 The States 260
14 New York, California, and Illinois 282
15 The Courts and the Congress 305
16 Congress and the Future 327
Epilogue 349
Appendix 363
Index 373
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