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- DescriptionConventional wisdom holds that programmes for the poor are vulnerable to instability and retrenchment. Medicaid, however, has grown into the nation's largest intergovernmental grant program, accounting for nearly half of all federal funding to state and local governments. Medicaid's generous open-ended federal matching grants have given goverrs a powerful incentive to mobilise on behalf of its maintenance and expansion, using methods ranging from lobbying and negotiation to creative financing mechanisms and waivers to maximise federal financial assistance. Perceiving federal retrenchment efforts as a threat to states' finances, goverrs, through the powerful National Goverrs' Association, have repeatedly worked together in bipartisan fashion to defend the programme against cutbacks. Financing Medicaid engagingly intertwines theory, historical narrative, and case studies, drawing on sources including archival materials from the National Goverrs' Association and gubernatorial and presidential libraries, Centers for Medicare and Medicaid Services data, the Congressional Record, and interviews.
- Author BiographyShanna Rose is Assistant Professor of Financial Management and Politics at New York University's Robert F. Wagner Graduate School of Public Service, USA.
- Author(s)Shanna Rose
- PublisherThe University of Michigan Press
- Date of Publication30/09/2013
- SubjectMedicine: General
- Place of PublicationAnn Arbor
- Country of PublicationUnited States
- ImprintThe University of Michigan Press
- Content Note5 tables, 13 figures
- Weight476 g
- Width152 mm
- Height229 mm
- Spine23 mm
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