[Teacher317]

I'm not sure the Federal government is authorized by the constitution to be involved given the enumerated powers, but the reason the Feds are involved is that some states were dumping their indigents at the state line.

Really? This is a modern problem? Please, cite a source where this issue has invited the Feds into the field in the last few decades.

[DannyTN]

"Really? This is a modern problem? Please, cite a source where this issue has invited the Feds into the field in the last few decades."

It's not been an issue in the "last few decades" but I read somewhere that it was an issue when Medicare/Medicaid was originally being discussed. Think pre-60's.

It was also an issue in Colonial America at the state level. State judges spend a lot of their time forcing communities to carry their fair share of the indigent care. I read that researching the history of poor laws in America.