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The Political Economy of State Medicaid Policy

Published online by Cambridge University Press:  02 September 2013

Charles J. Barrilleaux  and
Mark E. Miller
Charles J. Barrilleaux
Affiliation:
University of New Orleans
Mark E. Miller
Affiliation:
U.S. Office of Management and Budget
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Abstract

We develop and test a market-based model to explain variations in states' welfare medicine policy decisions. The empirical results support the model of state policy outputs, indicating that states' spending efforts for welfare medicine are most sensitive to the supply of services within their borders. We learn in addition that spending effort declines with demand for services, indicating that the states spending the highest proportions of total personal income for the program are those who need it most and can afford it least. Measures of political system development affect spending effort positively and significantly, suggesting that ideology, diversity of interests, and administrative professionalism increase states' welfare efforts.

Type
Articles
Information
American Political Science Review , Volume 82 , Issue 4 , December 1988 , pp. 1089 - 1107
Copyright
Copyright © American Political Science Association 1988

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