In my column this week, I explain how not every Medicaid expansion through ObamaCare is necessarily a bad thing. The crux of my argument is that states that use the extra money to move the program in a more market-friendly direction – and as a consequence, make it more cost-conscious and consumer-driven – should be given a chance to test their ideas.
This means that Republican governors in Indiana, Iowa, Pennsylvania – and now perhaps Wyoming – should be given some space before conservatives conflate them with other GOP leaders who simply expanded Medicaid without bothering to wring any reforms from the Obama administration.
Every state is already in the business of participating in Medicaid. If conservatives are willing to consider Paul Ryan’s Medicare reform a step in the right direction, then we should extend the same courtesy to Republican governors who are trying to do something similar with Medicaid.
At least for now.
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