A brilliant article–by me–covers much wrong with Medicaid block grants:
Every politician knows that you can’t touch Medicare without first gaining the permission of America’s seniors. Yet Republicans now seek to upend the basic structure of Medicaid, with surprisingly little discussion, let alone any effort to determine how low-income adults and children, the aged, and the disabled feel about these critical changes to their health coverage.
This battle doesn’t get the political attention it deserves because the details become boring and technical, and because the design of Medicaid apparently affects other people – by which we mean poor people – who presumably should be grateful for what they get.
Speaker of the House Paul Ryan and others would convert Medicaid to a block grant. Before inauguration, President-elect Trump announced his support for this approach. Rep. Tom Price, the Trump Administration’s nominee to run the Department of Health and Human Services, reiterated that position in his confirmation hearings.
On last Sunday’s talk shows, White House counselor Kellyanne Conway suggested that converting Medicaid to a block grant would ensure that “those who are closest to the people in need will be administering” the program.
As with everything in Trump-era health policy, we haven’t seen the fine print. We don’t know how the block grants would be financed, how they would impact states or low-income citizens. The details matter, and they won’t be good….
Unrelated picture below: