Whether you fall on the left, right, middle or completely off the spectrum of politics altogether, the issue of properly funding Medicaid exists. And all 50 states along with the federal government need to continuously revamp, expand and amend the process to make sure it works.
Enter the Trump administration. Republicans have been saying for years that they are going to repeal and replace Obamacare. And now that they have the power to theoretically do so politically, Medicaid is also going to have to be dealt with.
So, how should the federal government approach the issue of funding Medicaid going forward? 46 governors and the Trump administration just recently sat down and talked about the country's future in regards to healthcare. And Medicaid is certainly a large portion of the concern here.
Seems Republicans are in favor of block grants to states, giving each state a set amount to fund Medicaid, and leaving the states to fund the rest of the program themselves. This seems good in some ways, and risky in others. The good being there will be less bureaucracy for the states to get approval on how they allocate funds, making states more nimble and able to implement programs (ideally) much more streamlined and efficient, catered directly to their own state's unique health care needs.
The bad of block grants is that states will have less funds earmarked specifically for Medicaid, leaving the door wide open for them to not allocate enough state funds into the Medicaid program to make up the difference sufficiently, and citizens will be left suffering and holding the bag (poor/partial coverage, exaggerated co-pays and other expenses that would've otherwise been handled by the program).
Per Capita Caps is another idea being suggested, for how the federal government will supply funds to the states. It's essentially the same idea as block grants, it's just that the $$ is generated from how many people in any given state are currently in need of the program. So the same idea, limited funds but less red tape.
I know little about the Democrats view on this subject, as I haven't felt the need as much to research it, as they are honestly not in power federally at the moment. So didn't seem as necessary to know. But I imagine many are for the federal government funding as much of Medicaid as possible, and making the process uniform and quality controlled across all 50 states.. is that about right?
What do you think the Trump administration will do with Medicaid expansion and proposed changes? Also, ideally what do you think the administration SHOULD do?