Word: medicaid
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...energize the bloated bureaucracy and "make government mean something in people's lives." She quickly imposed a hiring freeze and pushed a sweeping audit of state operations to eliminate such excesses as the 16 separate agencies that deliver health and human services, including the several panels that administer Medicaid to the poor...
...federal, state and foundation money, and the demand for services is overwhelming. The clinic's doctors and six outreach staff members currently treat 170 families, a number that could easily triple if the staff could handle the load. More than 90% of the patients are on Medicaid. Many have not graduated from high school. Some women must travel 90 minutes to get to the clinic, and many have no car. Outreach workers visit them monthly to provide instruction on prenatal care, proper diet, childbirth and parenting. And they even offer child-safety seats at cut-rate prices...
...deeply into revenues from state corporate and income taxes, while also leading to more cautious consumer spending that reduces the take from sales taxes. At the same time, the states are shouldering more of the burden of federal programs and facing stiff increases in the costs of Medicaid (18.4% in fiscal 1990 alone), bridge and highway maintenance, prison construction and new schoolrooms...
...state employees, forcing the state government's entire remaining work force to take 10 days of unpaid leave before July, shutting down 18 of 37 motor-vehicle offices, closing mental-health hospitals, abolishing the board of regents and making the elderly count their homes as assets in qualifying for Medicaid nursing-home care...
...cost of mammograms may also discourage women. Insurance frequently fails to cover the $50 to $200 procedure. Medicare just began paying for it this year. Public hospitals do not always offer such screening, and some state Medicaid programs have refused to provide reimbursements, which helps explain why breast cancer is often diagnosed too late among the poor. For black women in particular, the five-year survival rate is only 64%, in contrast to 77% for white women...