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While assistance programs for the poor have never been as popular as those for the elderly, one such program, Medicaid, became a favorite target for expansion by state and national policymakers during the fiscally conservative 1980s and early 1990s. As a result, Medicaid's expenditures began to grow at rates double that of Medicare which serves the elderly. The author explores the complex political and institutional factors, as well as the contribution of one exceptionally motivated individual, Henry Waxman, in promoting this unusual situation. Why was Medicaid singled out as virtually the only health care program expanded by Congress during these years? The answer is in the nature of the policy itself -- Medicaid's shared financing mechanism -- in which program costs are paid for jointly by the federal and state governments. Such an arrangement diffuses responsibility, increasing opportunities for shifting costs, blame, and/or credit between levels of government. This study presents numerous examples in which the federal government and states expanded the Medicaid program to serve their own interests, while shifting part or all of the cost to the other level of government. The end result was a dramatic increase in Medicaid expenditures, while those of Medicare program, funded by a single level of government, leveled off.

The federal Medicaid program covers long term care expenses for the elderly, but only when a family can no longer pay those expenses itself - only after its life savings have been wiped out and the family home has been sold. This fully revised and updated edition of The Medicaid Planning Handbook shows how to avoid financial ruin by planning in advance for your parents' and your own long term care. The Medicaid Planning Handbook reviews the current Medicaid rules; covers in great detail all the available options for protecting assets from devastating nursing home costs; and explains how to use devices such as revocable and irrevocable trusts, powers of attorney, and intrafamily transfers, with a special emphasis on ways to protect the home. Alexander A. Bove offers clear, concise advice for every situation - both those in which there are no immediate long term care problems and those in which one or both spouses are already in a nursing home.

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Medicaid - Medicaid in the United States is a program managed by the states and funded jointly by the states and federal government to provide health insurance for individuals and families with low incomes and resources. Medicaid is the largest source of funding for medical and health-related services for people with limited income.

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