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Secondary Motives: Power Motivation and Achievement Motivation01:27

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Power motivation and achievement motivation are two essential social motives identified by psychologist David McClelland. These motives influence behavior in various personal and professional contexts, shaping how individuals interact with others and pursue their goals.
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Achieving Meaningful Access to Medicaid.

Leslie Francis, Anita Silvers

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    |April 19, 2019
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    Summary

    Medicaid budget cuts harm patients through reduced services and access. These policies are unjust, disproportionately affecting vulnerable populations and limiting essential healthcare.

    Area of Science:

    • Health policy
    • Public health
    • Social justice

    Background:

    • Federal and state budgetary constraints significantly challenge Medicaid programs.
    • Benefit cuts lead to reduced access to community services, pharmaceuticals, and mental health care.
    • Low reimbursement rates impact provider capacity, leading to service reductions and facility closures.

    Purpose of the Study:

    • To analyze the impact of Medicaid benefit cuts on healthcare access and service provision.
    • To examine the philosophical implications of restricting access to publicly funded healthcare.
    • To advocate for inclusive healthcare policies that address injustice under constrained circumstances.

    Main Methods:

    • Qualitative analysis of policy impacts on patient care.

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  • Philosophical examination of justice and inclusion in healthcare.
  • Review of common effects of budgetary constraints on Medicaid services.
  • Main Results:

    • Benefit cuts result in long waiting lists, limited drug formularies, and restricted hospitalization.
    • Providers face challenges in hiring qualified staff and may refuse Medicaid patients.
    • Policies narrowing access promote perceptions of unfair generosity and stigmatize disability rights.

    Conclusions:

    • Medicaid benefit cuts create significant barriers to essential healthcare services.
    • Restricting access to publicly funded healthcare is philosophically unjust.
    • An inclusive approach to healthcare policy is necessary to address systemic injustices.