General Discussion
In reply to the discussion: MUST READ: If R$R Prevail On Medicaid Kids Get Ready To Sign Over YOUR House ----- [View all]jmowreader
(50,555 posts)Two things happen when things are block granted. Neither is good.
One: the states, esp the conservative ones, start a race to the bottom. There is a theory that people will spend thousands of dollars to move to a state that pays $10 more per month in govt benefits. How they came up with this, I have no idea. In addition to being cruel, it's dumb as hell.
Two: Block grant funds have a nasty habit of paying for tax cuts. There really aren't restrictions on how these are used. Think back to the block grants for smoking cessation programs: did one state of the fifty start one? Lots of tax cuts and dropping of the cash into the general fund. The same will happen with Medicaid block grants.
In some cases big centralized government is good...such as when money is involved.