ABSTRACT
Developments in New York and California, by far the largest Medicaid programs, continued to dominate Medicaid from 1970 to 1973. Medicaid's dilemmas of divided responsibilities were, however, more evident than in Illinois. In California, too, history tended to repeat itself in the early 1970s. Californias wide range of services and "mainstream" approach was, again, to be threatened by cost considerations. Innovative medical programs, like "Crisis Intervention," an emergency program of psychiatric care in the San Francisco area, were threatened by the requirement of prior authorization. The Hospital Admission and Surveillance Program, administered by the Illinois State Medical Society through the Illinois Foundation for Medical Care, were designed to lay down specific lengths of hospitalization for specific illnesses, and to develop systems of certification for various processes and procedures. But in Illinois, as in New York and California, the health care questions remained perplexing, incapable of permanent solution within the existing framework.
