Reading Alexander V. Choate Rightly: Now is the Time

Whatever happens to the Affordable Care Act (ACA) over the next few years, it is fair to assume that state Medicaid programs will be subjected to cost control measures. Despite the recent deployment of substantial arguments to the contrary, the belief still persists that the Supreme Court’s decision...

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Main Authors: Leslie Francis, Anita Silvers
Format: Article
Language:English
Published: MDPI AG 2017-10-01
Series:Laws
Subjects:
Online Access:https://www.mdpi.com/2075-471X/6/4/17
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author Leslie Francis
Anita Silvers
author_facet Leslie Francis
Anita Silvers
author_sort Leslie Francis
collection DOAJ
description Whatever happens to the Affordable Care Act (ACA) over the next few years, it is fair to assume that state Medicaid programs will be subjected to cost control measures. Despite the recent deployment of substantial arguments to the contrary, the belief still persists that the Supreme Court’s decision in Alexander v. Choate over thirty years ago stands for the proposition that disability anti-discrimination law does not impose requirements on the structure of Medicaid benefits. This belief is misleading at best. In this article, we challenge the access/content distinction and the straitened interpretation of Alexander v. Choate that has resulted from it. We then use cases drawn from education to point the way to a more robust analysis of meaningful access to health care and the constraints it places on the design of state Medicaid programs.
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spelling doaj.art-56863fdb46184b539e1b91a6535e10c92022-12-22T04:28:24ZengMDPI AGLaws2075-471X2017-10-01641710.3390/laws6040017laws6040017Reading Alexander V. Choate Rightly: Now is the TimeLeslie Francis0Anita Silvers1Department of Philosophy and S.J. Quinney College of Law, University of Utah, Salt Lake City, UT 84112, USADepartment of Philosophy, San Francisco State University, San Francisco, CA 94132, USAWhatever happens to the Affordable Care Act (ACA) over the next few years, it is fair to assume that state Medicaid programs will be subjected to cost control measures. Despite the recent deployment of substantial arguments to the contrary, the belief still persists that the Supreme Court’s decision in Alexander v. Choate over thirty years ago stands for the proposition that disability anti-discrimination law does not impose requirements on the structure of Medicaid benefits. This belief is misleading at best. In this article, we challenge the access/content distinction and the straitened interpretation of Alexander v. Choate that has resulted from it. We then use cases drawn from education to point the way to a more robust analysis of meaningful access to health care and the constraints it places on the design of state Medicaid programs.https://www.mdpi.com/2075-471X/6/4/17disabilitydiscriminationmeaningful accesshealth careAlexander v. Choatejustice
spellingShingle Leslie Francis
Anita Silvers
Reading Alexander V. Choate Rightly: Now is the Time
Laws
disability
discrimination
meaningful access
health care
Alexander v. Choate
justice
title Reading Alexander V. Choate Rightly: Now is the Time
title_full Reading Alexander V. Choate Rightly: Now is the Time
title_fullStr Reading Alexander V. Choate Rightly: Now is the Time
title_full_unstemmed Reading Alexander V. Choate Rightly: Now is the Time
title_short Reading Alexander V. Choate Rightly: Now is the Time
title_sort reading alexander v choate rightly now is the time
topic disability
discrimination
meaningful access
health care
Alexander v. Choate
justice
url https://www.mdpi.com/2075-471X/6/4/17
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