Damnit, it does not. I am sick and tired of FReepers accepting the Left's premise and not seeing this blunt truth. It's the equivalent of the Federal gas tax. States collect the revenues, the Feds dole out the money to fix the roads.
These block grants will have strings attached. Dems and their left-wing kook groups will sue that states must pay for transgendered middle-schoolers or abortion on demand. It is NOT federalism. It is more subsidies and status-quo and a quiet bail-out of the healthcare industry.
Get the federal government out of healthcare. They have the power to allow health insurers to sell across state lines. That alone will drastically reduce prices and promote competition.
I see that you are passionate about this and it is a terrible state of affairs I agree. What I don’t agree with is your pessimism. When you get that pessimistic forward progress is not possible.
The moderates control the senate and they will never pass a full repeal. The grants to the states do not have strings attached, the States are supposed to try different approaches since competition will uncover the most effective.People can move from one State to the other. If the Left tries to argue for conditions that’s the time to light up the phones and internet.