Just as Medicaid creates counterproductive incentives for doctors and even for hospitaladministrators, the existence of the program and the possibility of its expansion create perverse incentives for many state governors.
These same people continually remind us about the lost tax revenue, which might mean fewer pay raises for teachers and school administratorsandhospital workers in the Rust Belt.
The hospitaland nursing home administrators, care mangers, nurses, doctors, and other health professionals who came to this conference cared enough to take a day out of their schedules to listen to what we had to say.