A Quote by Maria Cantwell
The federal government would give money to the states. States would be able to negotiate at local rates. It's not Medicaid. People didn't want it to be Medicaid in Washington, either.
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I've been a vocal advocate for Medicaid expansion, which is why I co-sponsored legislation to incentivize states like Kansas to expand Medicaid by starting the amount the federal government matches state's investment for expansion at 100 percent.
Medicaid provides health care to our neediest citizens. While other states have had to cut Medicaid rolls and benefits already, Delaware has not. But the President's proposed budget would shift tens of millions of dollars of cost to the states, raising the real possibility of program cuts.
Try this thought experiment. Pretend you're a tyrant. Among your many liberty-destroying objectives are extermination of blacks, Jews and Catholics. Which would you prefer, a United States with political power centralized in Washington, powerful government agencies with detailed information on Americans and compliant states or power widely dispersed over 50 states, thousands of local jurisdictions and a limited federal government?
Medicaid protects impoverished children, the frail elderly and people in crisis, .. Its limited resources will be further stretched serving hurricane victims. Proponents of Medicaid cuts either undervalue Medicaid assistance or underestimate American compassion.
Patients would be better off if states were able to tailor the benefits that Medicaid covers - targeting resources to sicker people and giving healthy adults cheaper, basic coverage.
Remember, there are no cuts to Medicaid. Every year in Medicaid, you spend more money than you spent the year before under this plan, but the growth is not as great as it would be if you continued to pay, for instance, 100 percent for single able-bodied adults. Now, there is something wrong with the way that system is put together.
Medicaid is one of the rare times where Democratic governors are saying, "Hey, states' rights." We don't want the federal government coming in and telling us how to do our environmental remediation or how we're going to do our healthcare.
When you turn 18 in the United States, you should be automatically registered to vote. Ideally, this sensible reform would be a federal law affecting all 50 states, Washington, D.C., and American territories, but our federal government stopped being sensible a very long time ago.
A major part of the conservative plans to reform Medicaid turn on the assumption that states will be better able to manage the program, and deliver its benefits, free from all the intrusive regulation that Washington imposes.
Republican governors are more lunatic than they used to be - as attested by all the ones so eager to turn down free federal money to qualify more of their poor citizens for Medicaid under Obamacare. Meanwhile, some states have taken the money only to hoard it.
General revenue - what taxpayers are willing to give government, what they think is fair to give government - is not going to grow at the same amount that the federal government basically forces us to spend on Medicaid.
Medicaid is essentially bankrupt, Medicare is essentially bankrupt, why the heck would we give the federal government another entitlement program to manage?
For states' rights advocates, the Constitution is like a contract that is openly violated by one party with impunity. On paper, the states remain sovereign powers, while in reality the federal government appears able to dictate everything from the ingredients of school lunches to speed limits. Congress now routinely collects taxes in order to return the money to the states with conditions on their conforming to federal demands.
What Medicaid basically does is allows them to choose the two base years that they would calculate current their reimbursement levels on. And they all have per-capita allotments based upon what the states are experiencing today in terms of Medicaid costs. And then those are inflated over the years, the next decade, increased at the rate of inflation. And so they have to figure out how to take those dollars and put them to the best use in the state.
People in the individual marketplace should have more options. The plan that we - the discussion draft that we have out, actually opens up for people who are zero percent to 100 percent of the federal poverty level, not eligible for Medicaid, would open up the opportunity for them to purchase insurance with help from the federal government.
When former president Lyndon B. Johnson unveiled his plans for the program that would become Medicaid, he reflected on the future of public policy in the United States.
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