Kasich is a fraud
Too many Crony Capitalists out there in love with the Medicaid program.
Just like the SNAP program.
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The easiest way to handle Medicaid is to sweep the problem out of federal hands, for the most part: make all Medicaid funds direct “per poverty capita” block grants to the states, and with general guidelines, leave it up to the states how to distribute that money to health care for the poor. With strict limits on what percent of that money can be spent on administrative costs of the program.
Say, based on a state getting $100m, it can spend 5 million of that on administration, which is bare bones. But that is the limit of the federal contribution. If the state wants to pay more, it comes out of their pocket or co-payment.
Truthfully, this does provide the “Second tier” medical and dental care that has been provided for many years to the poor. For example, someone with a bad cavity does not get it filled, they get the tooth pulled. Unless the state can figure out a way to fill cavities quickly and for less, or is willing to pay for cavities to be filled.
Doing it this was saves an enormous amount of taxpayer money.