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Medicaid is already state-managed Isaac Send a noteboard - 13/10/2011 06:22:54 AM
Do you think states could handle entitlement spending (Social Security, Medicaid, Medicare) more efficiently than the federal government could? To facilitate this, increase of state government taxes and decrease in federal government taxes to properly fund the responsibility shift.


I'm pretty much always open to dumping things back down a level but SS is a pretty straightforward concept and isn't likely to benefit much from the 50 heads versus 1 approach in the same way education or infrastructure will, and a great many people move to a different state over the course of a working lifetime, you could transfer funds between states I suppose, still, I am open to the notion of it, but I'd rather it remained federal or better yet privatized.

Medicaid already is state-managed, Medicare might benefit from being state managed too, that's another one where I'd want to hear the pros and cons in more depth.
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States and Federal Government - 13/10/2011 05:08:14 AM 613 Views
No. - 13/10/2011 05:59:07 AM 398 Views
Re: No. - 13/10/2011 07:07:14 AM 388 Views
Re: No. - 13/10/2011 01:59:58 PM 377 Views
Economy of scale applies to every private bureaucracy, but not government ones. - 13/10/2011 06:53:44 PM 370 Views
of course economy of scale applies just like diseconomy of scale - 13/10/2011 10:38:45 PM 452 Views
And both are a function of size rather than government. - 14/10/2011 11:08:53 AM 469 Views
This is a ridiculous claim - 13/10/2011 09:44:35 PM 372 Views
you can do it with block grants - 13/10/2011 06:13:48 AM 361 Views
Believing the states can't do it, is not the same as saying the states will be less efficent or more *NM* - 13/10/2011 06:42:34 AM 149 Views
That is a BS argument - 13/10/2011 02:08:23 PM 365 Views
Medicaid is already state-managed - 13/10/2011 06:22:54 AM 464 Views
Yep, You're correct. - 13/10/2011 06:53:38 AM 383 Views
I think you just pinpointed my basic problem with vouchers. - 13/10/2011 06:36:58 PM 423 Views
Ah, Tricare - 13/10/2011 10:07:59 PM 385 Views
I pretty much agree with this - 13/10/2011 02:03:04 PM 366 Views
No I do not believe they do could do Medicare or Social Security more effectively *NM* - 13/10/2011 06:41:03 AM 152 Views
Care to elaborate? *NM* - 13/10/2011 06:55:21 AM 176 Views
If programs to ensure federal citizen rights were divided among the states it would invite disparity - 13/10/2011 06:50:02 PM 458 Views
<Type Random Subject Here> - 13/10/2011 09:55:04 PM 384 Views
Because some things do not matter much with geography and culture - 14/10/2011 02:20:04 AM 362 Views
Yet again I must disagree - 14/10/2011 05:04:43 AM 387 Views
I agree, it's not necessarily that the need itself changes... - 14/10/2011 09:06:19 AM 350 Views
The first thought that came to mind..... - 13/10/2011 08:55:36 PM 379 Views
I disagree - 13/10/2011 09:49:15 PM 438 Views
Except when its time to retire.... - 14/10/2011 04:03:22 PM 355 Views
Absolutely not *NM* - 14/10/2011 10:55:01 AM 183 Views

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