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"The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. A central theme of the book is that Medicaid is a "weak entitlement," one less established or effectively defended than Medicare or Social Security, but more secure than welfare or food stamps. In their analysis, the authors argue that the future of Medicaid is sound. It has the flexibility to be adapted by states as well as to allow for policy innovation. At the same time, the program lacks an effective mechanism for overall reform. They note Medicaid has become a source of perennial political controversy as it has grown to become the largest health insurance system in the country. The book's dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readersand in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new preface, three new chapters accounting for the changes to the Affordable Care Act, and an updated glossary."--Provided by publisher.

Cover; Half Title; Title Page; Copyright Page; Table of Contents; Preface; Acknowledgments; Introduction: The Children's Health Insurance Program-Past and Future; 1. Origins and Legislation; 2. Implementation; 3. CHIPRA and PPACA; 4. CHIP and the Future; 5. Thoughts to Take Away; Glossary; Bibliography; Index.

"Students of health politics and policy will find this book the go to source for understanding how Medicaid became the nation's go to program for filling the health system's myriad gaps." -Health Affairs The story of Medicaid comes alive for readers in this strong narrative, including detailed accounts of important policy changes and extensive use of interviews. The book's dual emphasis on politics and policy is important in making the arcane Medicaid program accessible to readers, and in distinguishing policy grounded in analysis from partisan ideology. This second edition features a new pref

Frontmatter -- Contents -- Tables -- Acknowledgments -- Introduction -- 1. South Central Pennsylvania, Fugitive Slaves, and the Underground Railroad -- 2. Thaddeus Stevens' Dilemma, Colonization, and the Turbulent Years of Early Antislavery in Adams County, 1835–39 -- 3. Antislavery Petitioning in South Central Pennsylvania -- 4. The Fugitive Slave Issue on Trial -- 5. Controversy and Christiana -- 6. Interlude: Kidnapping, Kansas, and the Rise of Race-Based Partisanship -- 7. Revival of the Fugitive Slave Issue, 1858–61 -- 8. Contrabands, "White Victories," and the Ultimate Slave Hunt -- 9. After the Shooting -- Conclusion -- Appendixes -- Notes -- Archives Consulted -- Index -- The North's Civil War

The issue of literacy in contemporary society is addressed through a genealogical, phenomenological, deconstructive exploration of three contexts within which any discussion of literacy must be located: gunpowder, Protestantism, & printing; postmodernism; & the transition from ideology to an ecology of consciousness exemplified by the new biology. Drawing on Thomas Carlyle's assessment of the character of the West, it is show that: gunpowder, via the exercise of power, helped determine which interpretations of the world became the dominant ones; Protestantism affected literacy by helping to establish individual freedom in interpretation; & printing provided the technology of dissemination necessary to the libertarian advance across Europe in the sixteenth century. Postmodernism has affected literacy by its focus on the plurality of meanings in the world, & the new biology has affected literacy by problematizing the Enlightenment assumption about rationality & the mechanical quality of nature. W. Howard