Medicaid and the Costs of Federalism, 1984-1992
Health Care Policy in the United States Series

Rapid growth in health care expenditures has plagued America since 1965 when Congress first created medicare (health care insurance for the elderly) and medicaid (health care assistance for the poor). This study looks into developments since.

Acknowledgments, Abbreviations, Introduction, Chapter One: The Explosion in Medicaid Expenditures, Part One: Congressional Treatment of Medicaid, Chapter Two: Politics of Medicare and Medicaid: 1965 to 1983, Chapter Three: Congressional Treatment of Medicare and Medicaid: 1984 to 1990, Chapter Four: Medicaid Politics and the Congressional Agenda: 1984 to 1990, Chapter Five: Changes in Institutions: Federalism, Chapter Six: Changes in Institutions: The Budget Process, Chapter Seven: The Role of the Policy Entrepreneur, Part Two: The States’ Treatment of Medicaid, Chapter Eight: States’ Enlargement of Medicaid: Fiscal Constraints and Divided Government, Conclusion, Chapter Nine: Implications of Policymaking for a Shared Program, Appendix A: Major Medicaid Legislation 1965 to 1990, Appendix B: Major Medicare Legislation 1965 to 1990, References

Jean Donovan Gilman