Ensuring equitable access to public health care: Two steps forward, one step back

Autor: Stavros Atsas, Karen Kunz
Rok vydání: 2013
Předmět:
Zdroj: The Social Science Journal. 50:449-460
ISSN: 1873-5355
0362-3319
DOI: 10.1016/j.soscij.2013.07.013
Popis: Advancements by the federal government to extend access to health care to Medicaid eligible populations have been countered by state government efforts to curtail program benefits and eligibility. Fiscally and philosophically-based legislation and Medicaid waivers have created a patchwork of state policies that contradict the original civil rights orientation of the program. This examination of equitable access to Medicaid programs and services reviews individual and community factors and fiscal and institutional barriers that contribute to discriminatory practices and then explores ways in which the Patient Protection and Affordable Care Act (ACA) addresses those issues. We find that the ACA funding authorizations for numerous innovative programs strives to substantially redress issues of discriminatory and inequitable service provision.
Databáze: OpenAIRE