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Health care rationing -- Oregon -- Assessment, Medicaid -- Oregon, Medical care -- Oregon -- Finance

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49 pages


Oregon is now in the process of implementing a first of its kind health care rationing plan. The intent of this new legislation is to expand Medicaid coverage to all citizens at or below the Federal poverty level. Under the proposed system, health care services will be prioritized and will be available only to the extent they can be paid for by presently appropriated funds. This rationing program is an extension of a policy adopted in 1987 whereby Oregon ended public expenditures for organ transplants. The following preliminary report examines the background of the policy, the national significance of the program, the ongoing prioritization process, the efforts to obtain a necessary Medicaid Demonstration waiver, and the state budgetary aspects of the proposed system. Oregon's new approach has received substantial national attention and is being considered as a major experiment in health care financing and delivery. The limited purpose of this piece is to give a brief and initial look at this controversial topic.


Catalog Number SR018.

A product of the Center for Urban Studies, Nohad A. Toulan School of Urban Studies and Planning, Portland State University.

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