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For those families making too much to qualify for

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For those families making too much to qualify for Medicaid but not enough to afford private health insurance,theChildren’s Health Insurance Program (CHIP), a federal-state program, offers the children in these familieshealth care, including regular checkups, immunizations, prescription drugs, hospital visits, and many otherhealth care services. In March 2018 that program covered about 421,000 Texas children beyond the 3.2 millionchildren covered by Medicaid.61Children’s Health Insurance Program (CHIP)a federal-state program that offers health insurance and medical care to the children of families that make too much toqualify for Medicaid but not enough to afford private health insurance
Medicareis a federal health insurance program that in July 2018 served about 58.5 million Americans,including 4.1 million Texans.62Medicare is available to senior citizens who have worked and paid into thesystem for ten or more years. Citizens may also qualify for Medicare because of disability. There are actuallyseveral components to Medicare. Part A covers inpatient hospital care, while Part B covers doctors’ fees andother outpatient costs. In 2003, President George W. Bush signed legislation adding Part D, which extendedMedicare coverage to provide prescription drugs.Medicarea federal health insurance program available to senior citizens who have worked and paid into the Medicare systemfor ten or more yearsThe Politics of Health CareThe controversy over the ACA continues to be a highly contentious issue that involves both partisan differences anddebates about the power of the federal government. While there are many legitimate differences between the differentsides, the political conflict has taken us away from fundamental issues of health care and the burdens that health carecosts put on individual Texans, their employers, and the facilities that must often care for the poor and uninsured.WINNERS AND LOSERSWhile turning down the federal money contained in the ACA might seem like a simple answer in a conservative statesuch as Texas, the implications of declining the federal funds associated with expanding Medicaid under the ACA arecomplex. State accounts may come out ahead by not accepting the burdens that come with these funds, but county andprivate hospitals could come out losers because they will see patients without Medicaid or other insurance showing upin emergency rooms or experiencing stays in the hospital they cannot afford. Thus, county hospitals will see patientsthat they cannot turn away, but those poor patients will leave county taxpayers to pay their tab.Critical ThinkingHow does the sharing of funds between the national government and state governments to fund social welfare benefitTexas taxpayers?

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Term
Fall
Professor
Janice
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