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Table Of Contents

ACKNOWLEDGEMENTS
Figure 2. 2004 President’s Budget for HHS2
Figure 3. Giving to Charitable Organizations, million U.S. dollars, 20033
Table 1. Tools and Approaches toward Reduction of Total Expenditures
Founding Values
Subject of the Book
What This Book Is and What It Is Not
Understanding Public
Table 2. Merriam-Webster Definitions of the Word public
Table 3. Words Common in Merriam-Webster Definitions of public
Table 4. Words Common in Definitions of public Found on the Web
Understanding Public Services
Understanding Public Sector
The Term Public Welfare
The Term Social Welfare
Understanding Community Services
Community Services Addressed in This Book
Understanding Public System of Care
Understanding Community System of Care
Understanding Eligibility and Entitlement
The Fuzzy Line between Need and Contribution
Public Welfare Resources and Their Beneficiaries
Overview of Public Welfare Resources7
The Social Security Administration (SSA)
The United States Department of Health and Human Services (HHS)
Table 5. HHS Operating Divisions
The United States Department of Agriculture (USDA)
The United States Department of Labor (DOL)
The United States Department of Housing and Urban Development (HUD)
Categories of Public Welfare Beneficiaries
Deserving and Undeserving
Categories of the Deserving
Another Perspective
Opinion about the Scope of Obligations
Table 6. Opinion Regarding Economic Equality
Government as a Public Sector Consumer
Does Social Welfare in the United States Reflect the Needs of American People?
Types of Welfare Programs
Federal Aid and Federal Control
Categorical Grants, Block Grants, and Revenue Sharing
Entitlement and Mandatory and Discretionary Spending
Figure 4. Mandatory and Discretionary Spending14
Devolution
Putting Things into Perspective
More on Competing Points of View
Who Should Be Served by Public Welfare Systems?
Example A
Example B
Conclusions
How Much Should We Be Spending?
Are We Fostering Dependency?
Food Stamp Program19
Public Welfare in the Commonwealth of Pennsylvania
Home and Community Based Services
Department of Aging
Office of Mental Health and Substance Abuse Services
Child Welfare35
Medical Assistance
Information Management
Table 13. Status of SACWIS Implementation as of April 20, 2005
Preliminary Assessment
Artificial Conflict between Compassion and Profitability
Figure 16. Uses of the Federal Tax Dollar in Fiscal Year 200264
Medicare
Eligibility for Medicare
Table 14. Summary of Medicare Eligibility Requirements
Administration of the Medicare Program
Funding of the Medicare Program
Major Medicare Benefits
Medicare Service Delivery
Role of State and Local Authorities and Other Participants
Anticipated Future of Medicare
Medicaid
Eligibility for Medicaid
Table 15. Key Medicaid Eligibility Groups
Categorically Needy
Medically Needy
Special Groups
State Children’s Health Insurance Programs (SCHIP)
Overview of Medicaid Eligibility Guidelines
Administration of the Medicaid Program
Table 16. Medicaid Administrative Models Presented in Figure 20
Funding of the Medicaid Program
Table 17. FMAP for Medicaid, FY 200494
Table 18. Per Capita Federal Medicaid Spending, FY 200494
Table 19. Medicaid Payments per Enrollee, FY 200194
Table 20. Medicaid Enrollment as Percent of Total Population, FY 200194
Medicaid Financing Waivers95
Payment for Medicaid Services
Disproportionate Share Hospital (DSH) Payments
Medicaid Maximization
Major Medicaid Benefits
Medicaid Service Delivery
Anticipated Future of Medicaid
The Medicaid-Medicare Relationship123
Payors of Last Resort
Converting Medicaid to a Block Grant Program
A Biased Summary of Public Welfare Deficiencies
Priority One: Serving People Better
Priority Two: Accounting for All Potentially Available Resources
Priority Three: Improving Decision-Making Process
Priority Four: Planning Discharge and Managing Aftercare
Priority Five: Balancing Responsibly Needs and Resources
Priority Six: Protecting Public Welfare from Indifference and Corruption
Role of Local Communities and Community Integration
Recommended Approach
Community Collaborative Advisory Board
CAB Vision
CAB Goals
CAB Identity
Philosophy of Community Integration
Figure 23. The ACA/ICI Model for Community Integration
Protection of Human Rights
Balance of Individual, Family, and Communal Interests
Use of Resources
Accountability
Economic Growth
Cultural Heritage
Measurable Nature of Objectives
The Business of Being Involved
P. 1
Community Well-Being and Public Welfare

Community Well-Being and Public Welfare

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Published by Xlibris
To satisfy its objective of serving as a set of recommendations toward improvement of public welfare systems, this book focuses on practical solutions rather than on rhetoric toward their academic justification. Instead of a more traditional research-oriented approach, the author has chosen to use his personal experience and academic background enriched by years of interaction with health and human services professionals, public service consumers, and community representatives in the United States and internationally. Furthermore, much of the material in this book has been influenced by the author’s active participation in community initiatives and boards.
To satisfy its objective of serving as a set of recommendations toward improvement of public welfare systems, this book focuses on practical solutions rather than on rhetoric toward their academic justification. Instead of a more traditional research-oriented approach, the author has chosen to use his personal experience and academic background enriched by years of interaction with health and human services professionals, public service consumers, and community representatives in the United States and internationally. Furthermore, much of the material in this book has been influenced by the author’s active participation in community initiatives and boards.

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Publish date: Dec 2005
Added to Scribd: Oct 04, 2010
Copyright:Traditional Copyright: All rights reservedISBN:9781425702229
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