The Politics Of Scarcity
The nation's leaders must slog through the complexities and ideologies of the current political landscape in order to craft solutions that will shore up the American safety net and protect its weakest citizens.
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The nation's leaders must slog through the complexities and ideologies of the current political landscape in order to craft solutions that will shore up the American safety net and protect its weakest citizens.
Hundreds of thousands of Americans are at risk of losing access to health services as states prepare to make yet another round of budget cuts.
Arizona has already asked for permission to trim back the program, and other states may follow as enhanced funding from Washington expires.
As state fiscal pressures mount, governors are asking Washington to allow them to reduce their Medicaid rolls, something that's barred under the health care law. Democrats generally prefer to give the states more federal money to help with Medicaid costs, but House Republicans are unlikely to support that, citing deficit concerns.
Courtney Burke of the Rockefeller Institute talks about New York's new governor's plans to tackle the public health insurance program.
Poll finds high support for Medicare and Medicaid, complicating political strategies for election of 2012.
Pursuing health reforms that transform current health insurance arrangements into aproaches based on defined contributions will set in motion a competitive dynamic from which all Americans would benefit.
Even while dealing with crippling deficits, state Medicaid and CHIP programs used stimulus funds in 2010 to keep enrollment steady for children, a new report finds.
Sometimes the noisiest voices in the health overhaul debate don't make a good faith effort to acknowledge important scientific or policy-oriented nuances in their arguments. It's happening again in the wake of a controversial regulatory ruling about a cancer drug.
KHN reporters preview some of the big issues coming this year: KHN correspondent Phil Galewitz says there are questions about the effectiveness of states' efforts to move Medicaid patients to managed care.
Democrats and Republicans may spend the next two years fighting about what to jettison or retain in the new health law. If these battles are resolved, we'll be back to address another looming challenge: long-term care. It's best that this happen sooner rather than later.
PACE offers comprehensive medical and social services and supporters say it can reduce hospital and nursing home stays and save money for Medicare and Medicaid.
It is essential that political leaders come together in a bipartisan fashion to put our government's finances on more stable footing. But that won't be done if the nation's approach to health care is supported by only one of the two major political parties.
Here is a question for the state officials who oppose expanding the safety net program or support getting rid of it: What do you propose to do instead? The answer appears to be very little.
Recent coverage of the proposals offered by President Obama's debt commission managed to gloss over a huge factor adding to the nation's deficit -- Medicaid. But the problem wasn't just in the coverage, but in the report, too. The final version ignored the massive expansion of the Medicaid program included in the new health care lawand didn't push for structural reforms to the program.
Already facing a record budget shortfall, Texas has received more bad news: The portion of state Medicaid costs paid by the federal government is about to drop.
The National Commission on Fiscal Responsibility and Reform released its long-awaited report on recommendations to cope with the national debt, now and into the future, "The Moment of Truth." Seven of the 66 pages concerned health care spending, especially focusing on Medicare.
For years, the state paid private providers who care for people with disabilities to handle their clients' case management. But an 11th-hour change inserted into the budget last session stripped them of that responsibility, giving it instead to quasi-governmental Mental Retardation Authorities - and potentially creating a conflict of interest.
Health economist Uwe Reinhardt critiques the new health care law, talks about cost containment and gives his reasons why a single-payer system health system couldn't work in America.
Medicaid, the state-federal health program that also pays for nearly half of all long-term care services for the frail elderly and younger people with disabilities, is in big trouble.
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