Why Medicaid Is Failing—And What Republicans Must Do About It
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getty Medicaid is the most expensive and inefficient health insurance scheme in the world. And what can Republicans do about it? Plenty – if they stand firm against the predictable and misleading Democratic attacks. The attacks from Democrats are as predictable as they are misleading. They’re howling over Republican proposals to merely slow—not cut—the growth of Medicaid spending from 2.4% annually to 2%. According to their apocalyptic rhetoric, this modest adjustment would “gut” the entire program and leave millions without coverage. Nonsense. Let’s look at the facts: Even with the proposed slowdown, Medicaid spending would still increase by roughly $1.5 trillion over the next decade. Both Medicaid and Medicare are fiscally unsustainable in their current forms, yet Democrats continue their demagogic attacks because scoring political points always trumps fiscal responsibility. Here’s the unvarnished truth: Medicaid’s miserly reimbursement rates have driven countless doctors to stop accepting patients in the program. Wait times grow longer by the year. Care quality deteriorates. The program that was meant to help our most vulnerable citizens is failing them. Reform isn’t just desirable—it’s imperative. Republicans can start with two straightforward changes: 1. Require Work For Benefits Medicaid was originally designed as a safety net for low-income pregnant women, children, and people with disabilities. But through Obamacare and pandemic-era expansions, the program has ballooned beyond recognition. Today, millions of able-bodied adults receive benefits without working a day. This arrangement helps neither recipients nor taxpayers. The principle should be simple and fair: no work, no benefits. 2. Halt The State-Level Medicaid Funding Games States have mastered the art of exploiting loopholes to extract additional federal dollars. A favorite maneuver: impose taxes on hospitals, return the money to those same hospitals, then use these funds to claim $2 or more in matching federal funds. This “provider tax” scheme creates…
Filed under: News - @ April 17, 2025 7:23 pm