The "Woodwork Effect" In Louisiana?
See this article on Louisiana's personal assistance program. The first couple of grafs:
A new state program that provides home care services as an alternative to nursing homes for the elderly and disabled has proven far more popular than state officials expected, increasing costs.
When a court settlement required the Department of Health and Hospitals to provide personal care attendants as a new entitlement under Medicaid in January 2004, the agency was expecting about 2,300 applications.
But by Dec. 31, the agency had received nearly 7,200 requests for services. More than half the applicants were deemed eligible, and 2,943 people were receiving services by the end of last month.