Word: medicaid
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Dates: during 1980-1989
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...Medicaid. Health-care costs in the U.S. have risen far more sharply than even the high rate of inflation. One result is that Medicaid, a program that cost the Federal Government about $2.5 billion in 1968, was expected to require $18.2 billion in 1982. Reagan hopes to cut $1 billion out of that amount and save up to $5 billion annually by 1986. He would do so mainly by setting a limit on the federal contribution to the program, which is funded jointly with the states, and letting Washington's support grow only to keep up with inflation. Thus...
...Medicaid Pains...
...Medicaid is a governmental program with certain features Ronald Reagan would be expected to admire. Operating within only the broadest of federal guidelines, it permits individual states to determine who is eligible for its benefits, and lets the states decide how much doctors, hospitals and nursing homes can collect for the services they render. Georgia is one of the most tightfisted: it has stiff eligibility requirements and ranks 46th among the 50 states in Medicaid funds received annually from Washington, even though it is 13th in the population ranking of the states. Despite such frugality, Georgia expects to share...
...program into four superbills. They are: the tax bill; a "recision" bill ordering reductions of $13 billion in spending for the remainder of fiscal 1981, which ends Sept. 30; an "entitlements" bill that would enable the Government to reduce spending on certain programs, such as food stamps and Medicaid, under which benefits are now guaranteed by law; and a "reconciliation" bill. This last would set a limit on fiscal 1982 nonmilitary spending, about $50 billion below the $544 billion proposed by Jimmy Carter; the defense portion of the budget Reagan may increase by $24 billion, to $220 billion. The reconciliation...
...several cases, the black book suggests reductions that would be low at the start but grow dramatically in future years. Savings from imposing a limit on Medicaid spending, to take one striking example, are projected to multiply from $100 million this fiscal year to $1 billion next year and $5 billion in fiscal 1985. Speculative though such estimates are, the mere attempt to make them stands the normal budgeting process on its head. Traditionally, the Government starts programs for which spending is relatively small in the early years but snowballs drastically as time goes by. The Reagan Administration is trying...