This sociolegal study examines the propriety of Congress’s criminalization of paid legal advice that facilitates Medicaid eligibility. Congress’s response to the Medicaid funding crisis is first placed in its historical context. It is argued that criminal penalties for such advice are inadvisable due to inherent ethical conflicts for attorneys, as well as enforcement difficulties. Moreover, criminal penalties do not offer a genuine solution to the systemic problems of long-term elder care.
Get full access to this article
View all access options for this article.
References
1.
American Bar Association. (2002). Model rules of professional conduct. Washington, DC: Author.
2.
Blair, C., Siegel, M., & Quiram, J. (Eds.). (1998). Growing old in America. Wylie, TX: Information Plus.
3.
Bocamazo, S. A. (1997). Lawyers threatened by Medicaid law—Helping elderly clients may cause attorneys to go to jail. Lawyers Weekly U.S.A., pp. 689-703.
4.
Budish, A. D. (1989). Avoiding the Medicaid trap: How to beat the catastrophic costs of nursing-home care. New York: Henry Holt.
5.
Chaudry, R., Brandon, W., & Schoeps, N. (1998). Exploring Medicaid recipients’ perceptions of access, quality, and satisfaction with care in a mandatory managed care program using focus groups. Charlotte: University of North Carolina.
6.
Flower, D. C. (1995). State discretion in funding organ transplants under the Medicaid program: Interpretive guidelines in determining the scope of mandated coverage. Minnesota Law Review, 79, 1233.
7.
Hubbard, K. (1995). The Medicaid costs crisis: Are there solutions to the financial problems facing middle-class Americans who require long term health care?. Cleveland State Law Review, 43, 627-653.
8.
Joire, L. S. (1999). After New York State Bar Association v. Reno: Ethical problems in limiting Medicaid estate planning. Georgetown Journal of Legal Ethics, 12, 789-814.
9.
Ku, L., & Bruen, B. (2000). The continuing decline in Medicaid coverage. Washington, DC: Urban Institute.
10.
Ku, L., & Guyer, J. (2001). Medicaid spending: Rising again, but not to crisis levels. Washington, DC: Center on Budget and Policy Priorities.
11.
Manski, R. A. (1996). Medicaid, managed care, and America’s health safety net. Journal of Law, Medicine & Ethics, 25, 30-33.
12.
Margolis, H. S. (1996). Congress criminalizes asset transfers. Elder Law Report, 8(2), 1.
13.
Miller, M. A. (1994). Your money for your life: A survey and analysis of Medicaid estate recovery programs. T. M. Cooley Law Review, 11, 581-589.
14.
New York State Bar Ass’n v. Reno, 999 F. Supp. 710 (N.D.N.Y. 1998).
15.
Regan, S. P. (1995). Medicaid estate planning: Congress’ ersatz solution for long-term health care. Catholic University Law Review, 44, 1217.
16.
Schwartz, R. L. (1991). Medicaid reform through setting health care priorities. St. Louis University Law Journal, 35, 833.
17.
U.S. Bureau of the Census. (1996). Population projections of the U.S. by age, sex, race, and Hispanic origin, 1995-2050. Washington, DC: Author.
18.
Wisconsin Dept. of Health and Family Services v. Blumer, 534 U.S. (2002).