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Willisms

« Trivia Tidbit of the Day: Part 668 -- Public Sector Unions. | WILLisms.com | Trivia Tidbit of the Day: Part 670 -- Fraud In Medicaid. »

Trivia Tidbit of the Day: Part 669 -- Medicaid Mandates.

No Wonder States Angry About Medicaid-

States are pushing back on the federal government and resisting perpetual expansion of Medicaid.

No wonder. Take a look at Texas. In Texas, federal government mandates this program on the state, but the state share has risen dramatically (.pdf):

TXstateshareofmedicaid

Over the past five biennia, Medicaid spending paid for out of GR has nearly doubled—up from $10.1 billion in 2002-03 to $18.6 billion in the current biennium. Should the cost of Medicaid continue trending in the same direction, the state’s taxpayers could very well be on the hook for $20 billion, or more, for the program by the next biennium.

In Texas, the federal government ponied up 9% more from 2008-2009 to 2009-2010, while the state share rose 15.3% to keep pace with new mandates. At these rates, the state will soon be paying for the outright majority of a federal program, with very little input into how to structure the program.

We desperately need health care reform, but it should look a lot more like what Whole Foods did (with Health Savings Accounts, High Deductible Health Plans, etc.) than what Obama and the Democrats are trying to do right now.

-------------------------------------

Previous Trivia Tidbit: Public Sector Unions.

Posted by Will Franklin · 5 October 2009 12:24 PM

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