Word: medicaid
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Dates: during 1990-1999
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Originally designed to shield employee benefit plans from frivolous but potentially crippling lawsuits, ERISA evolved over time to protect HMOs from liability suits by anyone--except Medicare and Medicaid recipients, church officials and government employees like Goodrich. Others can go to court, but at most they are entitled to recover the cost of the care that their HMO refused to reimburse. Not much consolation...
...have health insurance?" asks EEOC Commissioner Miller. "You lose your Medicare benefits, which you greatly need once you get that job, and then you can't purchase a separate health plan because of a pre-existing condition." The answer, he feels, is possibly to amend the Medicare and Medicaid system regarding eligibility, so that if a disabled person gets a job, that person would not lose benefits...
...needed break. The rest of the package is based on the wan hope that the market will somehow correct itself; the bill tries to nudge it that way. Over 60% of Medicare users believe their program covers long-term care, a fallacy that leaves them unprepared for protracted illness. Medicaid, the state and federal health program for the poor, does cover long-term care, and those without insurance often end up in its arms--after care costs have gutted their savings. Clinton's plan will spend $10 million to warn Medicare recipients to prepare--but prepare how? A bare-bones...
...what should Clinton have proposed? Even his critics have no concrete plans of their own. Some make vague suggestions about stock market-based fixes. A few states are offering tax breaks as incentives to purchase insurance. But no proposal looks like a national panacea. Other experts suggest raising the Medicaid income eligibility level but can't say how to pay the huge bill. The best chance for a fix may come as 76 million baby boomers retire over the next 30 years--what Clinton calls the "senior boom." That generation could change the face of America again, forcing reform...
When 46 states signed the tobacco deal two weeks ago, in which they agreed to drop their smoking-related Medicaid lawsuits in return for $206 billion from the cigarette companies, kids like Randall were a chief consideration. A large chunk of the money will be used to combat teen smoking, which, according to the Centers for Disease Control and Prevention, jumped 73% from 1988 to 1996. So a lot of attention may soon be focused on Florida, home of the most aggressive, get-tough campaign against teen smoking...