Word: medicaid
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...that the Republicans have taken care of their own and penalized those who tend to vote Democratic. Spending cuts in the G.O.P. budget fall most heavily on the poor. The litany of excisions has all the uplift of a requiem mass: reductions in welfare spending, ending welfare and Medicaid as absolute entitlements, reductions in the rate of increase in Medicaid assistance to the poor and in the rate of increase in Medicare, cuts in discretionary spending. All these affect those below the middle rung on the economic ladder...
...second time in a month, the Federal Government was forced into a partial shutdown after budget talks between congressional Republicans and the White House collapsed. President Clinton accused the G.O.P. of wanting to make "deep and unconscionable cuts in Medicare and Medicaid." Senator Robert Dole retorted, "I don't think he's telling the American people the truth." The two sides could not agree on when to restart negotiations...
...many patients, TennCare has been like a balm. Those people who never had health coverage are "happy just because they have a TennCare card in their pocket," says Gordon Bonnyman, a Tennessee legal-services lawyer. And many Medicaid recipients like the shift to managed care, since it provides an opportunity to build a relationship with a primary-care physician...
...nongeneric drugs if absolutely necessary. Keeping the providers from defecting may prove more difficult. Many doctors feel that the medical budget for poor Tennesseeans was balanced on their backs. Even now, money for TennCare is tight. According to a gao report comparing TennCare's reimbursement rates with the old Medicaid levels, doctors now get slightly higher fees for visits and consultations, but for some forms of surgery and radiology they receive 20% to 50% less than they did before...
Wielding the same pen Lyndon Johnson used to sign both Medicare and Medicaid into law, President Clinton formally scrawled his veto signature over the Republican balanced-budget plan. To replace what he called the G.O.P.'s "extreme" and "wrongheaded" blueprint, which would remake the Federal Government in a more conservative image, the President presented Congress with his own balanced budget--his third of the year. Clinton offered to trim Social Security raises; to cut a bit more out of some domestic programs, including welfare; and to hold the line against deep slashes in education, environmental protection, health care and taxes...