Word: medicaid
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...given time to adjust to the new austerity, that poor people are protected against unfair treatment and that there is no massive shift in tax burdens from Washington to states and cities. The Governors, moreover, said they wanted Washington to assume greater, rather than less responsibility for welfare and Medicaid costs. Overall, however, the Governors were willing to swap tighter-funding limits for greater control over how they spend the money...
...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...
...array of specialized clinics and several doctors with worldwide reputations. For nearly 90 years Grady has also been the main source of medical care for Atlanta's poor. Last year a fifth of Grady's $80 million budget came from reimbursement for services provided to Medicaid patients. In 1980 the hospital served more than 300,000 outpatients in its jammed waiting rooms, clinics and stretcher-filled emergency rooms. An additional 42,244 patients competed for space in its 934 beds...
...eligible for Medicaid at Grady, patients must meet the same low income levels as do persons who qualify for aid to dependent children, the most common welfare program in Georgia. The blind, the disabled and those over 65 also qualify. For each $1 that Grady spends on a Medicaid patient, the Federal Government contributes $2, under a sliding scale that permits Washington to help states with low per-capita income more than wealthier ones. Unfortunately, that ratio works in reverse when funds are reduced. Says Michael Yelton, director of public relations at Grady: "For every dollar we do not receive...
...Medicaid is cut back, Grady's administrators fear that they may have to turn many poor patients away and eliminate some of the hospital's services. Noting the choices that might have to be made, Yelton suggests, "We might decide to keep the glaucoma clinic but drop the cataract clinic. We would just have to tell the cataract patient, 'I'm sorry. We can't see you.' " In offering reduced services, Grady doctors say, some patients with an easily remedied ailment may not get help until their conditions become far more serious-and also...