Oregon's Disability: Principles or Politics?
Capron, Alexander Morgan
Hastings Center Report. 1992 Nov-Dec; 22(6): 18-20.
As some form of rationing is an inevitable part of all health insurance, the ADA [Americans with Disabilities Act 1990] roadblock to rational prioritization of services by their expected benefit should be of grave concern to us all, not just Oregonians. The Supreme Court has already indicated that antidiscrimination statutes do not prevent the government from placing limits on Medicaid coverage even when doing so may have a disparate impact on handicapped persons, provided those who are "otherwise qualified" for a service are not denied "meaningful access" to it because of a disability. Since Secretary Sullivan's ruling is based on a misunderstanding of the Oregon plan and a misreading of the ADA, one can only hope that once the pressures of the presidential election are behind us (whatever its outcome), the occupant of the White House and his Secretary of Health and Human Services can be persuaded to take another look at Oregon's application for a Medicaid waiver.
Costs and Benefits; Disability; Discrimination; Economics; Federal Government; Financial Support; Government; Government Financing; Health; Health Care; Health Care Delivery; Health Insurance; Handicapped Persons; Indigents; Insurance; Legal Aspects; Legislation; Life; Politics; Public Policy; Quality of Life; Resource Allocation; Selection for Treatment; Social Discrimination; Standards; State Government; Statutes; Values;