Fiscal federalism and Medicaid

Over time, Medicaid's growth in the context of other grant reductions has changed the very nature of fiscal federalism. Medicaid is no longer simply a grouping of health insurance programs. It has become the basic fiscal interaction between the states and the federal government. The growth of M...

Full description

Saved in:
Bibliographic Details
Published in:Spectrum (Lexington, Ky.) Ky.), 2003-04, Vol.76 (2), p.15
Main Author: Miller, Vic
Format: Article
Language:English
Subjects:
Federal state relations
Federalism
Fiscal policy
Government grants
Health care expenditures
Health insurance
Medicaid
Revenue sharing
State government
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page
container_issue 2
container_start_page 15
container_title Spectrum (Lexington, Ky.)
container_volume 76
creator Miller, Vic
description Over time, Medicaid's growth in the context of other grant reductions has changed the very nature of fiscal federalism. Medicaid is no longer simply a grouping of health insurance programs. It has become the basic fiscal interaction between the states and the federal government. The growth of Medicaid also means that states are financing a progressively larger share of the joint federal-state enterprise. The country needs a set of automatic fiscal stabilizers for government the same way it has them for the rest of the economy. And it is the federal government, the dominant source of government finance in the US, that needs to act to establish them. Both government and the health care sector that has become so dependent on it will be better financed and better able to serve our country if this issue is appropriately addressed.
format article
fullrecord <record><control><sourceid>proquest</sourceid><recordid>TN_cdi_proquest_journals_214223309</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>332910491</sourcerecordid><originalsourceid>FETCH-proquest_journals_2142233093</originalsourceid><addsrcrecordid>eNpjYeA0NDAz17UwNTbgYOAqLs4yAAETM04GObfM4uTEHIW01JTUosSczOJchcS8FAXf1JTM5MTMFB4G1rTEnOJUXijNzaDk5hri7KFbUJRfWJpaXBKflV9alAeUijcyNDEyMjY2sDQmShEAu8Yq5g</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>214223309</pqid></control><display><type>article</type><title>Fiscal federalism and Medicaid</title><source>Access via Business Source (EBSCOhost)</source><creator>Miller, Vic</creator><creatorcontrib>Miller, Vic</creatorcontrib><description>Over time, Medicaid's growth in the context of other grant reductions has changed the very nature of fiscal federalism. Medicaid is no longer simply a grouping of health insurance programs. It has become the basic fiscal interaction between the states and the federal government. The growth of Medicaid also means that states are financing a progressively larger share of the joint federal-state enterprise. The country needs a set of automatic fiscal stabilizers for government the same way it has them for the rest of the economy. And it is the federal government, the dominant source of government finance in the US, that needs to act to establish them. Both government and the health care sector that has become so dependent on it will be better financed and better able to serve our country if this issue is appropriately addressed.</description><identifier>ISSN: 1067-8530</identifier><language>eng</language><publisher>Lexington: Council of State Governments</publisher><subject>Federal state relations ; Federalism ; Fiscal policy ; Government grants ; Health care expenditures ; Health insurance ; Medicaid ; Revenue sharing ; State government</subject><ispartof>Spectrum (Lexington, Ky.), 2003-04, Vol.76 (2), p.15</ispartof><rights>Copyright Council of State Governments Spring 2003</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>Miller, Vic</creatorcontrib><title>Fiscal federalism and Medicaid</title><title>Spectrum (Lexington, Ky.)</title><description>Over time, Medicaid's growth in the context of other grant reductions has changed the very nature of fiscal federalism. Medicaid is no longer simply a grouping of health insurance programs. It has become the basic fiscal interaction between the states and the federal government. The growth of Medicaid also means that states are financing a progressively larger share of the joint federal-state enterprise. The country needs a set of automatic fiscal stabilizers for government the same way it has them for the rest of the economy. And it is the federal government, the dominant source of government finance in the US, that needs to act to establish them. Both government and the health care sector that has become so dependent on it will be better financed and better able to serve our country if this issue is appropriately addressed.</description><subject>Federal state relations</subject><subject>Federalism</subject><subject>Fiscal policy</subject><subject>Government grants</subject><subject>Health care expenditures</subject><subject>Health insurance</subject><subject>Medicaid</subject><subject>Revenue sharing</subject><subject>State government</subject><issn>1067-8530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><recordid>eNpjYeA0NDAz17UwNTbgYOAqLs4yAAETM04GObfM4uTEHIW01JTUosSczOJchcS8FAXf1JTM5MTMFB4G1rTEnOJUXijNzaDk5hri7KFbUJRfWJpaXBKflV9alAeUijcyNDEyMjY2sDQmShEAu8Yq5g</recordid><startdate>20030401</startdate><enddate>20030401</enddate><creator>Miller, Vic</creator><general>Council of State Governments</general><scope>K9.</scope></search><sort><creationdate>20030401</creationdate><title>Fiscal federalism and Medicaid</title><author>Miller, Vic</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-proquest_journals_2142233093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Federal state relations</topic><topic>Federalism</topic><topic>Fiscal policy</topic><topic>Government grants</topic><topic>Health care expenditures</topic><topic>Health insurance</topic><topic>Medicaid</topic><topic>Revenue sharing</topic><topic>State government</topic><toplevel>online_resources</toplevel><creatorcontrib>Miller, Vic</creatorcontrib><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Spectrum (Lexington, Ky.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miller, Vic</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fiscal federalism and Medicaid</atitle><jtitle>Spectrum (Lexington, Ky.)</jtitle><date>2003-04-01</date><risdate>2003</risdate><volume>76</volume><issue>2</issue><spage>15</spage><pages>15-</pages><issn>1067-8530</issn><abstract>Over time, Medicaid's growth in the context of other grant reductions has changed the very nature of fiscal federalism. Medicaid is no longer simply a grouping of health insurance programs. It has become the basic fiscal interaction between the states and the federal government. The growth of Medicaid also means that states are financing a progressively larger share of the joint federal-state enterprise. The country needs a set of automatic fiscal stabilizers for government the same way it has them for the rest of the economy. And it is the federal government, the dominant source of government finance in the US, that needs to act to establish them. Both government and the health care sector that has become so dependent on it will be better financed and better able to serve our country if this issue is appropriately addressed.</abstract><cop>Lexington</cop><pub>Council of State Governments</pub></addata></record>
fulltext fulltext
identifier ISSN: 1067-8530
ispartof Spectrum (Lexington, Ky.), 2003-04, Vol.76 (2), p.15
issn 1067-8530
language eng
recordid cdi_proquest_journals_214223309
source Access via Business Source (EBSCOhost)
subjects Federal state relations
Federalism
Fiscal policy
Government grants
Health care expenditures
Health insurance
Medicaid
Revenue sharing
State government
title Fiscal federalism and Medicaid
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T12%3A39%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Fiscal%20federalism%20and%20Medicaid&rft.jtitle=Spectrum%20(Lexington,%20Ky.)&rft.au=Miller,%20Vic&rft.date=2003-04-01&rft.volume=76&rft.issue=2&rft.spage=15&rft.pages=15-&rft.issn=1067-8530&rft_id=info:doi/&rft_dat=%3Cproquest%3E332910491%3C/proquest%3E%3Cgrp_id%3Ecdi_FETCH-proquest_journals_2142233093%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=214223309&rft_id=info:pmid/&rfr_iscdi=true