A Study of the Medicaid Provisions of the Omnibus Budget Reconciliation Act-1981
Mestrich, Keith R.
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Part One provides the necessary background information concerning the Omnibus Budget Reconciliation Act. It is not intended to be an analytical chapter, but one that provides a framework for the analysis conducted in Parts Two, Three and Four. Part Two examines OBRA 1981 from an efficiency point of view. It critically examines the costs and the benefits of the new program and concentrates on the goals of the new statute. Part Three scrutinizes OBRA on a level of social equity. This section starts out with some of the justifications behind the equity objective in terms of health care and demonstrates how OBRA runs counter to a number of those standards. However, the chapter ends on an optimistic note by examining alternative approaches by the states to provide care for the indigent. Part Four is the crux of the thesis. It examines the OBRA approach to Medicaid costs containment from a systemic point of view. This section takes a critical look at American bureaucracy and concludes by strongly supporting that process. At times, Part Four may seem jingoistic and at times it is. While this thesis is not intended to be ethnocentric in nature, it does strongly support the American method of governing.If you are not a current K College student, faculty, or staff member, email firstname.lastname@example.org to request access to this SIP.