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Ideologies of Aid, Practices of Power

Lessons for Medicaid Managed Care

Bibliographic Data

ID2478817
AuthorsNancy L Nelson
Year2005
Volume19
Issue1
Pages103-122
Publication date2005-03-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1525/maq.2005.19.1.103
PMID15789629
OpenAlexW2033712249
LanguageEN
Citations received10
References cited13

The articles in this special issue teach valuable lessons based on what happened in New Mexico with the shift to Medicaid managed care. By reframing these lessons in broader historical and cultural terms with reference to aid programs, we have the opportunity to learn a great deal more about the relationship between poverty, public policy, and ideology. Medicaid as a state and federal aid program in the United States and economic development programs as foreign aid provide useful analogies specifically because they exhibit a variety of parallel patterns. The increasing concatenation of corporate interests with state and nongovernmental interests in aid programs is ultimately producing a less centralized system of power and responsibility. This process of decentralization, however, is not undermining the sources of power behind aid efforts, although it does make the connections between intent, planning, and outcome less direct. Ultimately, the devolution of power produces many unintended consequences for aid policy. But it also reinforces the perspective that aid and the need for it are nonpolitical issues

Cognitive reframing · Decentralization · Devolution (biology · Economic growth · Economics · Health care · Ideology · Medicaid · Political science · Politics · Power (physics · Public relations · Sociology · State (computer science · Variety (cybernetics · International Development and Aid · Psychology · Religion, Society, and Development · Law · Public Administration

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    K Hopper•Human Organization•2006

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    H Castaneda, Nolan S Kline et al.•Practicing Anthropology•2011

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    Open Access•Svea Closser, Gordon Guest et al.•Social Science & Medicine•2022

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    John Portz, John H Portz et al.•Public Administration Review•1999

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    Sandra Morgen, Jeff Maskovsky•Annual Review of Anthropology•2003

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Unique citing works10
Citations per year0.48
Citation span2005 - 2022 (18)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 10

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