Word: patchworks
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Dates: during 1970-1979
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...Patchwork Program. In Washington, Medicaid is a headless monster. To the extent that it is run at all, it is controlled by one of the most cumbrously named offices in government: the Medical Services Administration of HEW's Social and Rehabilitation Service. Its commissioner, Dr. Francis L. Land, was summarily dropped from the post last July at the height of congressional criticism over Medicaid's failings. The Administration has still not replaced Land...
Congress designed Medicaid as a patchwork program. Each state could join after its plan was approved by HEW. The minimum benefits, which every state must provide for all "public assistance" (meaning welfare) recipients, are 1) in-and out-patient hospital care, 2) other laboratory and X-ray services, 3) nursing-home treatment and physicians' services. The patient's eligibility depends on the state's definition of need. That may be anywhere between $2,448 family annual income, as in Oklahoma, and $5,000, in New York...