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How Medicaid Fails the Poor

3.98  ·  Rating details ·  41 ratings  ·  7 reviews
Medicaid, America’s government-run health insurance program for the poor, should be a lifeline that provides needed health care to Americans with no other options. Surprisingly, however, it doesn’t. The medical literature reveals a $450 billion-a-year scandal: that people on Medicaid have far worse health outcomes than those with private insurance, and no better outcomes t ...more
ebook, 48 pages
Published November 12th 2013 by Encounter Books (first published November 5th 2013)
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Soleil Shah
Although I agree with Roy’s premise that Medicaid has flaws, he overstates the case of HSAs and the “wise purchaser” argument. Making patients more cost sensitive through HSAs will not necessarily translate to cost savings because 1) the prices that can be charged for medical services will still be high and 2) patients who avoid high-value preventative care that’s not covered via their HSA plan may end up incurring significant medical expenses downstream (e.g., ED visits). He also uses Medicaid ...more
Amy Sawyer
It is a broadside, so it approaches the issue at a very high level. One absolute truth in it, however, is the misconception of equating health insurance as health care. Insurance, regardless of type, is about financial protection from catastrophic events. Health insurance is no different. The problem is politicians and policy wonks seem to think you cannot obtain health care without health insurance, which is not true. Health insurance only helps you pay the bills.
Justin Tapp
How Medicaid Fails the Poor is a "book" that is shorter than a Kindle Single, it's more like an essay or long-form article. I was disappointed in that, so as a result it only gets 2 stars. But I do recommend reading it, if you can find a free copy.

I have a few personal and professional connections to Medicaid, so I'm interested in it. Roy highlights several studies showing how Medicaid does not improve health outcomes significantly different than if the poor did not have health insurance. He pro
Mark Breuer
Dec 22, 2013 rated it really liked it  ·  review of another edition
Quick read, buts gets to the point. Simply put, Medicaid has failed. Doctors are increasingly not taking Medicaid patients and recent studies show that access to Medicaid does NOT improve health. But as the author clearly describes, the goal of health insurance is NOT to improve health anymore than the goal of auto insurance is to improve your gas mileage. Health insurance, like any insurance, should protect against catastrophic loss. The goal of Health CARE is to improve health. Attempts to com ...more
Ian Roy
Nov 26, 2016 rated it really liked it  ·  review of another edition
A short book for those more concerned with results than good intentions.
Josh Waters
Apr 19, 2015 rated it it was amazing
Good concise explanation on Medicaid

Good concise explanation on what Medicaid is, what it's goal is, and ultimately how it broken. Highly recommend to all.
Paul Libke
Nov 13, 2016 rated it it was amazing
Good ideas!

Not only is Medicaid a total disaster, but there are far better plans that do more & cost far less!
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