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![handle is hein.amenin/aeiaefh0001 and id is 1 raw text is: toy arnes C. Capreta
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M' dicai plays a, <r r r e' in . t` U Y Ch are than was -ilipated at It. .ig6 nc TmEnt. The'
CQunLry's ;havy rc:3n<ca rnvoun.ryi, *ob-cL !ased n c leves gaps inJH preot'., fVr p>sopet=
who -are unempyedi )t .r whCavew em ,ngs ? . rnd cann I f tr premim aymn ts. Fur.hlr,
.hE is>i nd.. :fi deri'yn nee-social v'%ice ' .a'd'i`n to rditonnau l i.S m r., Me-
catid andh Children'' ehnsurance Prograrn (.IP haveb dCful, ee tenin's
saty-net progm for the'n'se soceta 9bigtn. Mdicas join fea -sa le~ ;ar-itetur
and opmn-ended mrechin i ystem1 fr pJrgr Iin `anI .g''ave ia r:pid spendin; *Ian
enromnt growthr bun they'aso cmpemt pO a Vu ntility, oudet and cost is'Ci-
plne and *1Onsistenr an.d far nat::naS adinistration Rfor can *;-rengten Medicaid and
CHr by/ im po!vingh !nceti4ves far ecost eonrrt oly r.e ensrn a| <Amric~ans nave a basI level cf
pro tein. Mediai and CHIP can suppert mrk't incetive bvfi'n in gaps aria reincorc~i:
cormpetitve prressu res wAhereo possie,
Medicaid is the largest publre insurance progra i
the UJS by, total enrol] men t, which would suruprise
many of the pieeaiC who voted it into ei stenCe in
3.65in part, that IN eCause tas .ershaowed
fronm its inception by Medicare, Whlic was created
1 tie same law as a universal health insurance addi-
ta0n to the popular Social Seuity pg- ra) ..
It rmay seem obvious now tha Meicaaid wOutiid
grw rapidly, given the gaps let' hy 'e nation' s
otner insurance svstans, but in the mid -i9os, tile
Fture enoluion of U S hcath car was not ycr
clear. The US couid have adopted a nationalized
systemi that would have made a program rocu sed
exeissivenl on rhe poor a less relevant feature in
t;e overall design. H owever, over time, the domni-
nanece 0 thre nation's job-based irnsuranee system
for ;1orkng Americans and teir ramulies cane to
bec seen as an en trenched reality, A robust saftety
net becamnc essential to s staining private i.n s u race
as tie irs otion for working Americans because
cmploye<tr plans ar'e often nor available to, or afford--
able 'or, ower-wage workers.
Medcain d also grew laecuse or the secs.i.:alK rice
needs of households carnge fr permaneotiy fsa-
biet ndivruas, many of whom arc categorically
ejigile 1-r .Mvedieaid because of then: entitrement
to cash support For the dxsabied poor Further,
orther rich countries also parovide paubicly subsidized
N '> ~
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