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Previous Volume 348:2140-2148 May 22, 2003 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In 2002, the federal–state Medicaid program financed health care and social services for more than one in every seven Americans (51 million beneficiaries), surpassing Medicare for the first time as the nation's largest health insurance program. Now, with most states and the federal government facing large deficits, the coverage of millions of these beneficiaries could be in jeopardy, as Medicaid, once again, becomes a target of the budget scalpel. Medicaid is vulnerable because its growth has outstripped that of state revenues and of all other major state programs. States will be compelled to take action to close their revenue shortfalls, . . . [Full Text of this Article]

The Rapid Growth of Medicaid

The Fiscal Plight of State Governments

Reducing the Scope of Medicaid

Medicaid and Physicians

The Administration's New Proposal

A Lukewarm Response to the Proposal

The Mixed Views of Congress

The Uncertain Road Ahead

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