Miller Michael
J Ambul Care Manage. 2003 Oct-Dec;26(4):307-14. doi: 10.1097/00004479-200310000-00004.
Medicaid is often accused of devouring state budgets. In reality, it is a sharp decline in revenue that has precipitated the current state fiscal crisis, not the growth of health care spending. Nonetheless, in a climate of scarce resources, proponents of maintaining health coverage for low-income people through the Medicaid program face a complex challenge that requires them to think simultaneously about policy and building a political constituency for health care for the poor. At the same time, they must challenge the conventional wisdom that argues against raising taxes in times of economic weakness.
医疗补助计划常常被指责吞噬州预算。实际上，是税收的急剧下降引发了当前的州财政危机，而非医疗支出的增长。尽管如此，在资源稀缺的情况下，通过医疗补助计划为低收入人群维持医保覆盖范围的支持者面临着一项复杂的挑战，这要求他们同时思考政策问题以及为穷人的医疗保健建立政治支持群体。与此同时，他们必须挑战在经济疲软时期反对增税的传统观念。
