Medical Assistance Programs

Bierman, Pearl

doi:10.1086/639614

Cited by 2 publications

(1 citation statement)

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“…Subsequent programs included the Reconstruction Finance Corporation, the Federal Emergency Relief Administration, the Civil Works Administration, and Works Progress Administration (Greenfield 1958;Haeder and Weimer 2015a;Macmahon, Millett, andOgden [1941] 1971). Particularly Rule and Regulation 7 issued by the Federal Emergency Relief Administration encourage the provision of medical care (Bernard and Feingold 1970;Bierman 1954). A focus was on the health of farmers and farmworkers, as well as their families, who received assistance from the Resettlement Administration, the Farm Security Administration, or the War Food Administration in the form of either government-subsidized prepayment or insurance programs or direct services through facilities staffed by government providers (Grey 1994;Haeder and Weimer 2015a;Mott and Roemer 1945;R.…”

Section: The Rise and Decline Of Public Hospitalsmentioning

confidence: 99%

The Demise of Community Responsibility: Unintended Consequences of Coverage Expansions on California Public Hospitals

Haeder

2018

Journal of Health Politics, Policy and Law

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Long before the establishment of Medicaid or the passage of the Affordable Care Act, California counties provided their poorest residents with access to comprehensive medical care. This article analyzes the creation and closure of public hospitals in the state of California. It combines both qualitative historical research and event history analysis to assess what led first to the creation of the nation's most comprehensive public health network and then to its gradual demise. Strong evidence is presented that the implementation of Medicaid in California significantly altered the calculus of local governments with regard to the operation of public hospitals. In particular, Medicaid shifted county hospitals from the realm of allocational politics to that of redistributive politics. Subsequently, reforms at the state and federal levels further encouraged this development. Because of this shift, many counties decided to close their hospitals. Moreover, as expected for redistributive policies, the continued operation of public hospitals was driven not by need but instead merely by fiscal capacity: more affluent counties continue to maintain them while poorer, needier counties close their doors.

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