Bundling Justice: Medicaid's Support for Housing

Crossley, Mary

doi:10.1177/1073110518804209

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…She argues, in fact, that justice requires doing so if we are to treat similarly situated persons alike. 5 Of course, problems of poverty are rarely contained to healthcare needs alone, but spill over to other needs, which sometimes have a legal dimension. Authors from the Solomon Center for Health Law and Policy at Yale Law School describe how medicallegal partnerships -legal professionals embedded in the healthcare setting -can prevent or lessen the ill health effects of poverty through a preventative legal approach.…”

Section: Lois Shepherd and Robin Fretwell Wilsonmentioning

confidence: 99%

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Introduction: The Medicalization of Poverty

Shepherd¹,

Wilson²

2018

J. Law. Med. Ethics

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Section: Lois Shepherd and Robin Fretwell Wilsonmentioning

confidence: 99%

“…She argues, in fact, that justice requires doing so if we are to treat similarly situated persons alike. 5…”

mentioning

confidence: 99%

Introduction: The Medicalization of Poverty

Shepherd¹,

Wilson²

2018

J. Law. Med. Ethics

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“…Those have been researched in the past, sometimes all together (e.g., Krieger & Higgins, 2002), but mostly through discussions synthesising evidence stemmed from behavioural studies. Other researchers such as Crossley (2018) explore the joint benefit of health and housing programs for vulnerable populations, as well as financing mechanisms. While Currie's (2006) policy-focused study also compares housing and health policies in respect to coverage and target groups, ours address the issue of who benefits from assistance, using the lens of equity.…”

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confidence: 99%

“…To qualify for these tax breaks, a certain percentage of the units must be occupied by renters earning less than the area median income (Quigley, 2011, p. 153).5 Wilbur Mills was chairman of the House Ways and Means Committee. He is considered as one of the main architects behind the 1965 legislation that gave birth to Medicare and Medicaid.6 State Medicaid programs now include several services such as long-term care, nursing homes, home and community-based services, intermediate care for mental illness, substance abuse treatment, child and foster care, school-based services as well as supported employment(Crossley, 2018;Grogan & Andrews, 2015; Olson, 2010). 7 This also reflects the difference between cash transfers versus services.…”

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Question worth 20 million lives: Why federal housing assistance has not had its Obamacare

Bendaoud

Marmor

2020

Soc Policy Adm

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The equitable character of a policy determines its progressiveness, yet some domestic policies are more equitable than others. The question of how and why this is the case is addressed by studying federal housing and health policies in the United States, a critical case known for its rampant inequalities in both sectors. Although social equity is a fundamental aspect of welfare provision, explaining differences in coverage and government support among policy areas remains a weakness in the literature. This comparative historical analysis shows that both housing assistance and health care suffered from inequities almost as early as their inception. But a progressive reform took shape with the Affordable Care Act (ACA) and extended coverage to 20 million people formerly uninsured. This essay tackles an unsolved puzzle: Why has such grand policy reform never taken place in housing where more than 20 million people are eligible for assistance but do not receive help? We found that it is largely explained by housing assistance distinctiveness with regard to its weak constituency, racial connotation and low public concern. We conclude with the analytical payoffs of studying social equity, both for political scientists and observers of social affairs.

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The Effects of Housing Cost Burden and Housing Tenure on Moves to a Nursing Home Among Low- and Moderate-Income Older Adults

Morales

Robert

2020

The Gerontologist

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Background and Objectives In the United States, a growing number of older adults struggle to find affordable housing that can adapt to their changing needs. Research suggests that access to affordable housing is a significant barrier to reducing unnecessary nursing home admissions. This is the first empirical study we know of to examine whether housing cost burden (HCB) is associated with moves to nursing homes among older adults. Research Design and Methods Data include low- and moderate-income community-dwelling older adults (N = 3,403) from the nationally representative 2015 National Health and Aging Trends Study. HCB (≥30% of income spent on mortgage/rent) and housing tenure (owner/renter) are combined to create a 4-category housing typology. Multinomial logistic regression models test (a) if renters with HCB are most likely (compared with other housing types) to move to a nursing home over 3 years (2015–2018) and (b) if housing type interacts with health and functioning to predict moves to a nursing home. Results Across all models, renters with HCB had the greatest likelihood of moving to a nursing home. Moreover, self-rated health, physical capacity, and mental health were weaker predictors of nursing home moves for renters with HCB. Discussion and Implications Results suggest that older renters with HCB are most likely to experience unnecessary nursing home placement. The growing population of older renters experiencing HCB may not only signal a housing crisis, but may also challenge national efforts to shift long-term care away from nursing homes and toward community-based alternatives.

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Bundling Justice: Medicaid's Support for Housing

Cited by 5 publications

References 12 publications

Introduction: The Medicalization of Poverty

Introduction: The Medicalization of Poverty

Question worth 20 million lives: Why federal housing assistance has not had its Obamacare

The Effects of Housing Cost Burden and Housing Tenure on Moves to a Nursing Home Among Low- and Moderate-Income Older Adults

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