The Medicaid Medical Industrial Complex

“Across the nation, sizeable and forceful groups–a Medicaid medical industrial complex–support welfare medicine, many of them becoming entirely or partially dependent on its funding for their financial viability.  Their reliance on the low-income health program puts them at risk of adverse political decisions, but also drives them to exert disproportionate influence over policymakers. Vested interests–professionals,…

No Wrong Door

In Virginia, there are over one million people age 60 and older and over 90,000 Virginians age 85 and older. These figures will only grow in the upcoming decades.  Thus will put increasing strain on public programs and will require service providers to reorient medical care toward providing continued, high-quality long term care services.  Long…

Medicaid’s humble beginings

Although Medicaid is currently one of the largest programs in any state’s budget, Congress enacted this welfare health insurance scheme as almost an afterthought. Consider the news coverage for Medicaid at the time.  According to the chart below, the New York Times didn’t even mention Medicaid an any article in 1965 and Medicaid was mentioned…