Word: programming
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Dates: during 1970-1970
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...often since Congress wrote them into law in 1965. Yet few Americans understand them. As a consequence, the Department of Health, Education and Welfare has printed 550,000 copies of a deliberately cute, three-color booklet entitled MEDICAID-MEDICARE-Which Is Which? Medicare, it points out, is a federal program and is the same all over the U.S. Medicaid, on the other hand, is a federal-state partnership under which states design their own programs. How widely these vary and how grave are their defects became clear last week as Medicaid passed its fourth birthday...
Whereas Medicare has drawn predictable criticism for costing more than was estimated and invited abuse by a few unscrupulous doctors, dentists and druggists, it is in general a successful and effective program. Not so Medicaid, which is a shambles at both the federal and state levels...
Patchwork Program. In Washington, Medicaid is a headless monster. To the extent that it is run at all, it is controlled by one of the most cumbrously named offices in government: the Medical Services Administration of HEW's Social and Rehabilitation Service. Its commissioner, Dr. Francis L. Land, was summarily dropped from the post last July at the height of congressional criticism over Medicaid's failings. The Administration has still not replaced Land...
Congress designed Medicaid as a patchwork program. Each state could join after its plan was approved by HEW. The minimum benefits, which every state must provide for all "public assistance" (meaning welfare) recipients, are 1) in-and out-patient hospital care, 2) other laboratory and X-ray services, 3) nursing-home treatment and physicians' services. The patient's eligibility depends on the state's definition of need. That may be anywhere between $2,448 family annual income, as in Oklahoma, and $5,000, in New York...
East Harlem's First Spanish Methodist Church is a congregation of lower-middle-class Puerto Ricans. For three months it has been under attack by a militant Puerto Rican group, the Young Lords, who have demanded church space for a weekday free-breakfast program for neighborhood children. The church refused, saying the congregation itself should organize any such action...