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Contents Preface ix Acknowledgments xi Introduction 1 1 The Problem and Puzzle of Public Silence 3 Part I Explanations and Background 21 2 Explanations for Public Silence: Inequality, Dependence, and Infeasibility 23 3 Medicaid’s Persistent and Conflicting Goals: Equal Access, Quality Care, and Cost Control 42 Part II Arguments and Findings 67 4 The Political and Policy Difficulties of Discussing Unequal Access 69 5 Medicaid’s Policy Network and the Ties that Bind: Nonprofit Advocacy and Social Interactions 91 Conclusion 119 6 Medicaid Reform and Advisory Boards: Who Will Advocate for Poor People’s Health? 121 Notes 131 References 137 Index 151 This page intentionally left blank ...

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