Hello professor and classmates,
The benefits of having different types of health programs varying by state is that we get to see flexibility. What I mean by this is that we can see if certain programs are faring better with people in general. That’s the good thing about having variety, we get to see some good and not so good health programs. Like the book mentioned, “every state (and territory) has a unique Medicaid structure- no two programs are exactly alike” (Teitelbaum & Wilensky, 2007, pp. 201). With that being said it would make sense in the end to have a uniform health program across the nation. For example, what if someone who has a certain disease lives in Utah, but the programs there does not have the option to cover their disease, but Florida can. This means that the person would need to move to Florida, or travel, just to get the proper treatment which would cost more money on top of all the other expenses the person is probably having. In this instance it makes sense to have a uniform healthcare program. This can be looked at form another stance though. If that same person was to look for care in any state and it was not available because of the uniform health program, then that person is stuck with not getting proper treatment.
The medically need, I find, is a bit unnecessary. Don’t get me wrong I am all for everyone getting medical care, but it is also unfair to them. For them to get help is based on their income and they become eligible if the income is below the cutoff line after expenses. The inconsistency of this is that the person may “not be eligible for the first six months of the year, but will be eligible for the second six months of the year” (Tietelbaum & Wilensky, 2007, pp. 204). This does not make sense from a medical point of view because the person getting treatment would be off and on treatments. This could just end up being a waste of time, treatments, and resources because of the inconsistency associated with this category.
Tietelbaum, J. & Wilensky, S. (2007) Essentials of Health Policy and Law. (3rd ed., pp. 201-204) Burlington, MA: Jones and Bartlett Learning.