As privatization deepens, costs are boosted, thereby taking Medicaid full circle. The ascendancy of commercial establishments ensures that Medicaid is not only paying for medical services per se, but also for high, sometimes exorbitant profits and stockholder gains,
Although painted as paragons of innovation, flexibility, and efficiency, the health industries-insurance companies, pharmaceutical manufacturing firms, hospitals, nursing homes, home health agencies, and the like-have in fact contributed measurably to escalating welfare medicine outlays.
Because spending has overshadowed other issues, including access to and quality of care, the funding of welfare medicine has been a political football: the central government has
What I found, as this book explores, is a sweeping program that helps sustain many of the main commercial interests in the United States.