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Join date: May 13, 2022


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Dr. Robert Keeton, a professor of law, published an article in the Yale Law Journal in 2007 entitled, “The Medicaid Crisis: The Crisis in Health Care in the United States and Solutions for Resolving It.” It is a remarkable document in which he surveys the history of healthcare in the United States and its consequences on its population and on individuals. It is a document that gives the history of how we came to the current state of our healthcare crisis. Dr. Keeton’s article is divided into three parts, in a very loose manner. The first part focuses on the history of the health care system in the United States. The second part focuses on the impact of the changes in health care and the consequences of those changes. The third part focuses on the recommendations for a system of health care. Dr. Keeton’s analysis of the history of healthcare in the United States is both fascinating and alarming. I recommend it as an excellent resource for both those who are interested in healthcare reform and those interested in a review of our current state of healthcare in the United States. In Section One, entitled “History of Medicaid,” we are treated to a short history of the Medicaid program. Medicaid was initiated in 1965 to provide medical assistance to the poor. There is a difference, according to the author, between Medicaid and Medicare. Medicaid is designed to be a program that provides for the basic medical needs of poor people, while Medicare was created to provide a program for poor people who were over 65 years old. By the 1970s, Medicaid was a $14 billion annual program, in which it did three things: provide for the poor, provide for medical care for the poor, and provide for medical services for the poor. “The authors note,” says Keeton, “that this was a major expansion of the program, and it was such a significant expansion that it was the major reason that insurance plans began to offer Medicaid plans as a substitute for private health insurance plans in the 1970s.” The Medicaid program in the United States in 1965 was a program funded by the federal government. Since that time, the Medicaid program has grown in size and scope. “States have to spend a lot of money in order to keep up with the demands of the Medicaid program,” according to Keeton. The author states that Medicaid provides for people who are unable to work due to physical limitations or are unable to work




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