Volume 7, Number 2 (Spring) 1972
Stuart, Bruce. 1972. "Equity and Medicaid." Journal of Human Resources 7(2):162-178.
This paper is concerned with the differential impact of the Medical program on state incomes in 1967-68. Benefits and costs of the program are calculated for each state and the results are evaluated in terms of the perceived original intent of the program planners. It was found that although the program favors the poor in all states with Title XIX plans, it does so at the expense of extreme horizontal inequity. The conclusion is that federal incentives for the development of comprehensive state Medicaid programs are inadequate to insure an equitable system for the distribution of program benefits and costs.
The author is Director of the Health Research Division, Bureau of Research and Development, Michigan Department of Social Services. This article is based upon a paper, "The Impact of Medicaid on Interstate Income Differentials," read at the American Association for the Advancement of Science symposium on the Grants Economy, held in Chicago in December 1970.
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