Posting date: July 26, 2005

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Health Affairs, 10.1377/hlthaff.w5.335
Copyright © 2005 by Project HOPE

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My Life At HCFA: A True Parable

¹ Bruce Vladeck is a principal at Ernst and Young LLP in New York City. He was administrator from May 1993 to September 1997. Before serving at HCFA, he was president of the United Hospital Fund of New York and a member of the Prospective Payment Assessment Commission. After leaving HCFA, he was appointed to the National Bipartisan Commission on the Future of Medicare.

^*Corresponding author.

Abstract

Medicare and Medicaid consume a significant part of overstrained state and federal budgets, serve as the lifeblood of the nation's largest industry, and preoccupy ideologues across the political spectrum. But the bottom line is getting people the medical care they need and deserve. Inside the Beltway, people can lose sight of that basic goal. The administrator's job is to make sure that neither he nor his agency ever does.

Key Words: Elderly, Health Reform, Medicaid, Medicare, Politics

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