- The Oxford Handbook of U.S. Social Policy
- List of Contributors
- Acknowledgments
- The Fragmented American Welfare State: Putting the Pieces Together
- Social Provision before the Twentieth Century
- The Progressive Era
- The Great Depression and World War II
- From the Fair Deal to the Great Society
- The U.S. Welfare State Since 1970
- A Cross-National Perspective on the American Welfare State
- Cultural Influences on Social Policy Development
- Political Institutions and U.S. Social Policy
- Political Parties and Social Policy
- Interest Groups
- Constituencies and Public Opinion
- Race and Ethnicity in U.S. Social Policy
- Gender
- Social Security
- Private Pensions
- Medicare
- Long-Term Care for the Elderly
- Medicaid
- Temporary Assistance for Needy Families
- The Politics of Supporting Low-Wage Workers and Families
- Food Assistance Programs and Food Security
- Public Housing and Vouchers
- Social Security Disability Insurance and Supplemental Security Income
- Workers’ Compensation
- Unemployment Insurance
- Care and Work-Family Policies
- Homeownership Policy
- Private Health Insurance: Tax Breaks, Regulation, and Politics
- Pension and Health Benefits for Public-Sector Workers
- Social Programs for Soldiers and Veterans
- Poverty
- Inequality
- Citizenship
- Index
Abstract and Keywords
Medicaid’s intergovernmental design with a generous federal matching rate and substantial state discretion has fostered gradual but steady expansions of the program over time. Gradual growth creates a favorable political environment in which each expansion creates a political constituency for Medicaid—among provider groups and enrollees—who then fight against retrenchment. Yet, as program expenditures continue to increase, especially during fiscally distressed times, the partisan divide over the future direction of Medicaid becomes more stark. These are the political dynamics that will define how states struggle with the Affordable Care Act (ACA) Medicaid expansion and also how states attempt to provide long-term care financing and services under their Medicaid programs.
Keywords: health policy, Affordable Care Act (ACA), long-term care, state politics, political parties, interest groups
Colleen Grogan, Professor, School of Social Service Administration, University of Chicago
Christina M. Andrews, Doctoral Candidate, School of Social Service Administration, University of Chicago
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- The Oxford Handbook of U.S. Social Policy
- List of Contributors
- Acknowledgments
- The Fragmented American Welfare State: Putting the Pieces Together
- Social Provision before the Twentieth Century
- The Progressive Era
- The Great Depression and World War II
- From the Fair Deal to the Great Society
- The U.S. Welfare State Since 1970
- A Cross-National Perspective on the American Welfare State
- Cultural Influences on Social Policy Development
- Political Institutions and U.S. Social Policy
- Political Parties and Social Policy
- Interest Groups
- Constituencies and Public Opinion
- Race and Ethnicity in U.S. Social Policy
- Gender
- Social Security
- Private Pensions
- Medicare
- Long-Term Care for the Elderly
- Medicaid
- Temporary Assistance for Needy Families
- The Politics of Supporting Low-Wage Workers and Families
- Food Assistance Programs and Food Security
- Public Housing and Vouchers
- Social Security Disability Insurance and Supplemental Security Income
- Workers’ Compensation
- Unemployment Insurance
- Care and Work-Family Policies
- Homeownership Policy
- Private Health Insurance: Tax Breaks, Regulation, and Politics
- Pension and Health Benefits for Public-Sector Workers
- Social Programs for Soldiers and Veterans
- Poverty
- Inequality
- Citizenship
- Index
