Medicaid is the largest grant-in-aid program in the United States. Reform in this area, therefore, provides a unique opportunity to study the intersection between federal and state policy making in an area recently characterized by substantial uncertainty deriving from the lingering effects of the Great Recession, ongoing debate over the federal budget, and implementation of the Patient Protection and Affordable Care Act. Invariably states reform the way health care is delivered, regulated, and financed within broader parameters established by federal statutes and regulations. It is critical therefore that effective strategies be put into place if both current and future health and long-term care reform efforts are to have their greatest chances at success. Rhode Island is the first state to receive permission to operate its entire Medicaid program under a global cap. As a consequence, it has entered the national consciousness as a key data point potentially supporting the block grant approach to Medicaid reform. In this book, Edward Alan Miller identifies factors that either facilitated or impeded the design and implementation of Rhode Island’s Global Consumer Choice Compact Medicaid Waiver in order to draw broader lessons for the Medicaid block grant debate and health and long-term care reform more generally. Evidence gathered from archival sources and in-depth interviews with key stakeholders exposes the role that provider capacity has played in the implementation process, including adult day care, assisted living, home maker, and other home- and community-based services. The impact of the Global Waiver on the nursing home sector is examined as well, in addition to new authority to obtain federal matching dollars for previously state-only funded programs. By providing a sophisticated understanding of factors enhancing or impeding state health reform, this book will contribute to improvements in the development and administration of policy development at both the state- and federal-levels.
Now is the time for you to love who you are. Today is the day, when all human beings can accept that we are all created equal and that the only thing that separates us from one another is our own created limitations. We have reached the point in time when all humanity can function as one divine entity. By waking up this morning and picking up this book, you have reached the greatest moment that has ever been. If you have ever wished for peace on this earth, or you believe that this world can be a much better place, this book is for you. If you believe that there is more to life than acquiring material wealth and power, you may enjoy this journey. If you are willing to ask yourself a few questions, and to reply to the questions with complete honesty, you may find that you are a much greater being than you ever thought possible. This book will take you on a journey from birth, to death, and back to birth again. I have set out to write a book that helps us all to leave the past behind, accept that we do not know the future, and to live in the only day that we have: Today !
Chronicles the Civil War experience of a representative African American regiment The Black Civil War Soldiers of Illinois tells the story of the Twenty-ninth United States Colored Infantry, one of almost 150 African American regiments to fight in the Civil War and the only such unit assembled by the state of Illinois. The Twenty-ninth took part in the famous Battle of the Crater at Petersburg, joined Grant's forces in the siege of Richmond, and stood on the battlefield when Lee surrendered at Appomattox. In this comprehensive examination of the unit's composition, contribution, and postwar fate, Edward A. Miller, Jr., demonstrates the value of the Twenty-ninth as a means of understanding the Civil War experience of African American soldiers, including the prejudice that shaped their service. Miller details the formation of the Twenty-ninth, its commendable performance but incompetent leadership during the Petersburg battle, and the refilling of its ranks, mostly by black enlistees who served as substitutes for drafted white men. He recounts the unit's role in the final campaign against the Army of Northern Virginia; its final, needless mission to the Texas border; the tragic postwar fate of most of its officers; and the continued discrimination and economic hardship endured after the war by the soldiers.
In exploring integration of acute and long-tern care, this book begins by characterising the dually eligible population, and describing problems associated with meeting their health and social service needs in an uncoordinated system. It continues by analysing the advantages of using capitation and care management as a vehicle for integrating those services, and by discussing concerns about care integration strategies. It concludes by profiling nine federal and state programs that to varying degrees, integrate the acute and long-term care services that people who are dually eligible for Medicare-Medicaid, often require. They are: Federal initiatives such as the Program for All-inclusive Care of the Elderly (PACE), which capitates both Medicare and Medicaid acute and long-term care services for those who are dually eligible, and the Social/Health Maintenance Organization (S/HMO) and EverCare demonstrations, which capitate Medicare benefits only; Comprehensive state demonstrations such as Minnesota Senior Health Options, the Wisconsin Partnership Program, and the Continuing Care Network Demonstration of Monroe County, New York, which, like PACE, capitates both Medicare and Medicaid benefits; and Capitated state Medicaid demonstrations such as the Arizona Long-Term Care System, Oregon Health Plan, and Florida's Community-Based Diversion Pilot Project, which capitate Medicaid only, but actively pursue various Medicare co-ordination strategies. Proposals that explore using care management techniques to integrate Medicare and Medicaid services delivery, without capitation, are also discussed briefly. The book concludes with the observation that although federal and state initiatives to integrate acute and long-term care for those who are dually eligible, only serve a relatively small percentage of this population, they provide a set of options which Congress may want to examine when formulating long-term care policy in the future.
On a remote training planet, hotshot Earth Defense Fleet Cadet Ryan Thompson and his peace loving ex-girlfriend Amanda Williamson can't agree on anything. But when news comes of an alien invasion of Earth--the first in human history--they are thrown together on a deadly, unauthorized mission to face an unknown enemy. What they find is beyond their wildest expectations. A discovery that changes everything they thought they knew...about their hostile adversaries--and mankind. With a trail of riddles and mysteries, epic space battles and journeys to the far corners of Earth, this "Star Trek meets Indiana Jones" Sci-Fi Adventure from Author Edward Miller should appeal to fans of Sci-Fi Space Operas and Young Adult Science Fiction. Edward Miller's debut novel with co-author J.B. Manas, The Kronos Interference, was named to Kirkus reviews best of 2012 and received a Starred Review from Kirkus, which called it "Impressively original" and a "Tour De Force.
The Vietnam War is an outstanding collection of primary documents related to America's conflict in Vietnam which includes a balance of original American and Vietnamese perspectives, providing a uniquely varied range of insights into both American and Vietnamese experiences. Includes substantial non-American content, including many original English translations of Vietnamese-authored texts which showcase the diversity and complexity of Vietnamese experiences during the war Contains original American documents germane to the continuing debates about the causes, consequences and morality of the US intervention Incorporates personal histories of individual Americans and Vietnamese Introductory headnotes place each document in context Features a range of non-textual documents, including iconic photographs and political cartoons
The first full-scale biography of Robert Welch, who founded the John Birch Society and planted some of modern conservatism’s most insidious seeds. Though you may not know his name, Robert Welch (1899-1985)—founder of the John Birch Society—is easily one of the most significant architects of our current political moment. In A Conspiratorial Life, the first full-scale biography of Welch, Edward H. Miller delves deep into the life of an overlooked figure whose ideas nevertheless reshaped the American right. A child prodigy who entered college at age 12, Welch became an unlikely candy magnate, founding the company that created Sugar Daddies, Junior Mints, and other famed confections. In 1958, he funneled his wealth into establishing the organization that would define his legacy and change the face of American politics: the John Birch Society. Though the group’s paranoiac right-wing nativism was dismissed by conservative thinkers like William F. Buckley, its ideas gradually moved from the far-right fringe into the mainstream. By exploring the development of Welch’s political worldview, A Conspiratorial Life shows how the John Birch Society’s rabid libertarianism—and its highly effective grassroots networking—became a profound, yet often ignored or derided influence on the modern Republican Party. Miller convincingly connects the accusatory conservatism of the midcentury John Birch Society to the inflammatory rhetoric of the Tea Party, the Trump administration, Q, and more. As this book makes clear, whether or not you know his name or what he accomplished, it’s hard to deny that we’re living in Robert Welch’s America.
Raised in Missouri, Harris (1911 - 1976) won a Pulitzer Prize in 1946 when he worked for the St. Louis Post-Dispatch. He came to know Harry S. Truman in Missouri, and on being assigned by the Post-Dispatch to Washington, he interviewed Truman when he was a Senator and Vice-President. When Truman became President, Harris was confrontational at press conferences, but the two men held private discussions in the White House about ancient history, a passionate advocation of the President. Harris was an assertive but also canny reporter. His autobiography illuminates fifty years of journalism in Missouri and Washington"--The New York Review of Books.
Sentiments than Lincoln, the two developed a friendship that lasted until Lincoln's death. Miller details the evolution of their relationship, from their early correspondence to Hunter's leading role in the trial of those accused of Lincoln's assassination. Dealing extensively with Hunter's Civil War experience, Miller recounts the general's wounding at Bull Run and leadership of the Department of the South at Hilton Head Island, where he issued an order to free the.
In The Enslaved and Their Enslavers, Edward Pearson offers a sweeping history of slavery in South Carolina, from British settlement in 1670 to the dawn of the Civil War. For enslaved peoples, the shape of their daily lives depended primarily on the particular environment in which they lived and worked, and Pearson examines three distinctive settings in the province: the extensive rice and indigo plantations of the coastal plain; the streets, workshops, and wharves of Charleston; and the farms and estates of the upcountry. In doing so, he provides a fine-grained analysis of how enslaved laborers interacted with their enslavers in the workplace and other locations where they encountered one another as plantation agriculture came to dominate the colony. The Enslaved and Their Enslavers sets this portrait of early South Carolina against broader political events, economic developments, and social trends that also shaped the development of slavery in the region. For example, the outbreak of the American Revolution and the subsequent war against the British in the 1770s and early 1780s as well as the French and Haitian revolutions all had a profound impact on the institution's development, both in terms of what enslaved people drew from these events and how their enslavers responded to them. Throughout South Carolina's long history, enslaved people never accepted their enslavement passively and regularly demonstrated their fundamental opposition to the institution by engaging in acts of resistance, which ranged from vandalism to arson to escape, and, on rare occasions, organizing collectively against their oppression. Their attempts to subvert the institution in which they were held captive not only resulted in slaveowners tightening formal and informal mechanisms of control but also generated new forms of thinking about race and slavery among whites that eventually mutated into pro-slavery ideology and the myth of southern exceptionalism.
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