Financing Care for Medicaid and the Uninsured

Holahan, John
April 2006
Ageing International;Spring2006, Vol. 31 Issue 2, p138
Academic Journal
John Holahan focuses on a critical aspect of the United States health care system: financing of Medicaid and care for the uninsured. The essay is organized into five parts: First, who are the uninsured? Second, what happened to the number of the uninsured during the recent economic downturn? Third, given that lack of insurance is largely a low-income problem, is expansion of the current Medicaid and SCHIP programs the answer? Fourth, alternatively, are approaches focused on increasing individual responsibility, such as tax credits and health savings accounts, the answer? In the fifth part, Holahan discusses an alternative approach to health reform which attempts to meet the needs of low-income individuals by giving states flexibility to decide on benefit packages, premiums, and cost sharing arrangements within federal guidelines.


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