Recent Medicaid Cutbacks: Shocking Impact on the Elderly : Hearing Before the Subcommittee on Health and Long-Term Care of the Select Committee on Aging, House of Representative, Ninety-fifth Congress, First Session, April 22, 1977

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1. lappuse - HOUSE OF REPRESENTATIVES, SUBCOMMITTEE ON HEALTH AND LONG-TERM CARE, SELECT COMMITTEE ON AGING, Washington, DC The subcommittee met, pursuant to notice, at 10:15 am, in room 2172, Rayburn House Office Building, Hon.
8. lappuse - ... this group ; (4) Medically needy families In the 21 states which do not voluntarily provide this coverage ; (5) Women pregnant with their first child in the 27 states which do not provide welfare aid or eligibility for the "unborn child ;" (6) Children of non-AFDC, poor families in the 35 states which do not take advantage of the optional Medicaid category called "all needy children under 21.
5. lappuse - Medicaid payments per recipient in constant 1967 medical dollars (expenditures divided by the consumer price index for medical care services) averaged $72 per person in the spring of 1975, compared with $77 seven years earlier. That is, from...
61. lappuse - Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.
35. lappuse - JeraldStevens(1977) spoke of these added consequences: Because of the escalating costs in Medicaid, we in Massachusetts are not able to provide a cost-of-living increase for AFDC recipients which is a particularly severe burden on the poor people. Additionally, we are not able to provide all the services we think are necessary for either the mentally ill. or for adolescents who need a number of types of care. So, the Medicaid pressure is felt not only in terms of making cuts, or trying to improve...
1. lappuse - For the elderly poor, a fifty cent co-payment which seems insignificant to most of us can mean the difference between a needed prescription and a quart of milk or a loaf of bread.
1. lappuse - Impact on Categorical Assistance Recipients "For the elderly poor, a 50-cent copayment, which seems insignificant to most of us, can mean the difference between a needed prescription and a quart of milk or a loaf of bread. What right have we to ask them to make this choice? There are people living in or approximate to my District who have to make a choice every day. between a cup of coffee and the morning newspaper.
5. lappuse - ... this share of total expenditures has not changed markedly for several years. Thus, the cost of Medicaid is growing rapidly, but no more so than everything that governments pay for. Medicaid represents a fairly small, although politically vulnerable, part of overall government budgets. Surprisingly, little is yet known about the reasons for the unanticipated high cost of Medicaid and its continued growth over time. Was the original cost estimate (of $1.5 billion combined Federal-State expenditures)...
12. lappuse - Economic report of the President. US Government Printing Office, Washington, DC, January 1974.
6. lappuse - ... 16 percent, cerebrovascular diseases 18 percent, diabetes mellitus 7 percent, and arteriosclerosis 37 percent. Although a great many factors undoubtedly contributed to these gains, it is at least plausible that increased attention to medical care played a part in achieving this improvement in health. For better evidence we will have to await follow-up studies in which death certificate information is linked with other sources of data on income.

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