Defederalizing Medicaid: Fair to the poor, fair to taxpayers?

J. Cromwell, S. Hurdle, R. Schurman

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


This paper explores the access and equity implications to the poor and taxpayers of further defederalizing Medicaid program administration. New data on enrollees and tax incidence indicates little horizontal, let alone vertical, equity in the system. Styles of cost control are also examined, showing a systematic bias towards providers and taxpayers at the expense of the poor in penurious states.

Original languageEnglish (US)
Pages (from-to)1-34
Number of pages34
JournalJournal of health politics, policy and law
Issue number1
StatePublished - 1987


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