Tag Archives: States’ Rights

Why President Trump’s Plan To Block-Grant Medicaid Is A Good Idea

While President Donald Trump’s efforts to repeal and replace Obamacare have dominated the news, he also plans to reform a larger and arguably more broken program: Medicaid. In an interview with NBC’s “Today” show, Trump advisor Kellyanne Conway said Trump wants to “block-grant Medicaid to the states” to ensure “those who are closest to the people in need will be administering.”

Conway’s comments echo Trump’s campaign promise to “maximize flexibility for states via block grants so that local leaders can design innovative Medicaid programs that will better serve their low-income citizens.” Block grants would cap federal Medicaid funding and let states decide how to use those dollars. It would introduce flexibility and budget discipline to a program that sorely needs both.

Medicaid Soaks Money Away From Other Priorities

Since its inception in 1965, Medicaid has operated as an open-ended entitlement. The more state Medicaid programs spend on health-care programs for designated recipients, the more the federal government reimburses them. On average, states receive $1.33 for every $1 they spend on Medicaid.

While Medicaid’s current framework sounds like a generous deal for states, Medicaid’s funding formula incentivizes policymakers to expand the program at the expense of core state government functions. A report by the Mercatus Center shows that as Medicaid’s share of state budgets grow, state spending on roads, schools, and public colleges shrink.

Continue reading at The Federalist.

Young Voices Podcast – What Many Americans Get Wrong About States’ Rights

The eighth Young Voices podcast features Jared Meyer, Randal Meyer and Daniel Pryor. Today they will be going into more detail on Jared and Randal’s recent article for The Federalist (read it here), which argues that the Union, not the Confederacy, was the true guardian of states’ rights in the antebellum era.

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What Many Americans Get Wrong About States’ Rights

This weekend’s Ku Klux Klan rally outside the South Carolina capitol building highlights the poignancy and divisiveness inherent in flying the Confederate battle flag, a symbol often associated with racial intolerance. Predictably, Confederate apologists have trotted out the “states’ rights” explanation for the Civil War as the race-neutral reason for the South’s rebellion—thus the flag represents something other than racism. Indeed, a recent Pew Research Center poll found that, 150 years after the Civil War, 48 percent of Americans (a plurality) still assert it was mainly about states’ rights.

This justification is inaccurate. When it came to slavery, the Union, not the Confederacy, was the true guardian of state autonomy in the antebellum era. After all, how is it that concerns over the Fugitive Slave Act of 1850, a federal law enforced by federal agents (or compelled state agents), could possibly be a states’ rights issue? It is long past time to put the contrary myth to rest, especially when the true doctrine of states’ rights is an important, laudable ideal enshrined in the federal Constitution.

Read the rest on The Federalist here.