BIOMAT Database Logo BIOMAT Database Logo

Ethics and Medicaid: a new look at an old problem. 1992

M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Department of Laboratory Medicine and Pathology, Medical School, University of Minnesota, Minneapolis 55455.

Recent proposals to reform Medicaid, driven primarily by the need for cost containment, rarely pay explicit attention to values. This paper presents the Medicaid Values Framework, the authors' interpretation of a set of societal ideals embodied in Title XIX of the Social Security Amendments of 1965. The Framework comprises seven interlocking values that are stratified into three interdependent tiers--access, quality, and equity. We use the access and equity tiers to analyze treatment of Aid to Families with Dependent Children (AFDC) and Supplemental Security Income (SSI) recipients under Medicaid. We document striking inequities in eligibility standards and in funding for the two groups--inequities that unexpectedly fail to translate into marked disparities in access to Medicaid. In conclusion, we comment on why the present inequities exist and why they are ethically unacceptable.

UI MeSH Term Description Entries
D008484 Medicaid Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons. Dental Medicaid Program,Medical Assistance, Title 19,Dental Medicaid Programs,Medicaid Program, Dental,Medicaid Programs, Dental,Program, Dental Medicaid,Programs, Dental Medicaid
D008962 Models, Theoretical Theoretical representations that simulate the behavior or activity of systems, processes, or phenomena. They include the use of mathematical equations, computers, and other electronic equipment. Experimental Model,Experimental Models,Mathematical Model,Model, Experimental,Models (Theoretical),Models, Experimental,Models, Theoretic,Theoretical Study,Mathematical Models,Model (Theoretical),Model, Mathematical,Model, Theoretical,Models, Mathematical,Studies, Theoretical,Study, Theoretical,Theoretical Model,Theoretical Models,Theoretical Studies
D004608 Eligibility Determination Criteria to determine eligibility of patients for medical care programs and services. Eligibility Certification,Certification, Eligibility,Certifications, Eligibility,Determination, Eligibility,Determinations, Eligibility,Eligibility Certifications,Eligibility Determinations
D004992 Ethics, Medical The principles of professional conduct concerning the rights and duties of the physician, relations with patients and fellow practitioners, as well as actions of the physician in patient care and interpersonal relations with patient families. Medical Ethics
D006297 Health Services Accessibility The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others. Access To Care, Health,Access to Care,Access to Contraception,Access to Health Care,Access to Health Services,Access to Medications,Access to Medicines,Access to Therapy,Access to Treatment,Accessibility of Health Services,Availability of Health Services,Contraception Access,Contraceptive Access,Medication Access,Accessibility, Health Services,Contraceptive Availability,Health Services Geographic Accessibility,Program Accessibility,Access to Cares,Access to Contraceptions,Access to Medication,Access to Medicine,Access to Therapies,Access to Treatments,Access, Contraception,Access, Contraceptive,Access, Medication,Accessibilities, Health Services,Accessibility, Program,Availability, Contraceptive,Care, Access to,Cares, Access to,Contraception, Access to,Contraceptive Accesses,Health Services Availability,Medication Accesses,Medication, Access to,Medicine, Access to,Medicines, Access to,Therapy, Access to,Treatment, Access to
D000385 Aid to Families with Dependent Children Financial assistance provided by the government to indigent families with dependent children who meet certain requirements as defined by the Social Security Act, Title IV, in the U.S. Family Allowances,Allowance, Family,Allowances, Family,Family Allowance
D012935 Social Justice An interactive process whereby members of a community are concerned for the equality and rights of all. Food Justice,Common Good,Justice,Obligations of Society,Good, Common,Justice, Food,Justice, Social
D012943 Social Security Government sponsored social insurance programs. Aid to the Blind,Aid to the Totally Disabled,Social Insurance,Aid to Totally Disabled Persons,Aid to Visually Impaired,Aid to Visually Impaired Persons,Insurance, Social,Security, Social
D012945 Social Values Abstract standards or empirical variables in social life which are believed to be important and/or desirable. Value Orientation,Values, Social,Value Orientations
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.

Related Publications

M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
A new look at an old problem.
November 1975, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
A new look at an old problem.
December 1968, Journal of oral surgery (American Dental Association : 1965),
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
A new look at an old problem.
January 1961, Japanese heart journal,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Gonorrhea--a new look at an old problem.
August 1970, The Journal of the Maine Medical Association,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Hypertension: a new look at an old problem.
February 2006, Current opinion in anaesthesiology,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Pruritus: a new look at an old problem.
June 1987, The Journal of family practice,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Hyperuricemia; a new look at an old problem.
January 2012, Journal of nephropharmacology,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
A new look at an age old problem.
September 1974, The Australasian nurses journal,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
PORTABILITY: A NEW LOOK AT AN OLD PROBLEM.
December 1963, Human factors,
M L Bach, and C N Oberg, and N A Bryant, and J L Boleman
Inflammation: A New Look at an Old Problem.
April 2022, International journal of molecular sciences,
Copied contents to your clipboard!