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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 586 Views
No. - 13/10/2011 05:59:07 AM 370 Views
Re: No. - 13/10/2011 07:07:14 AM 361 Views
Re: No. - 13/10/2011 01:59:58 PM 352 Views
Economy of scale applies to every private bureaucracy, but not government ones. - 13/10/2011 06:53:44 PM 340 Views
of course economy of scale applies just like diseconomy of scale - 13/10/2011 10:38:45 PM 405 Views
And both are a function of size rather than government. - 14/10/2011 11:08:53 AM 424 Views
This is a ridiculous claim - 13/10/2011 09:44:35 PM 348 Views
you can do it with block grants - 13/10/2011 06:13:48 AM 330 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 135 Views
That is a BS argument - 13/10/2011 02:08:23 PM 338 Views
Medicaid is already state-managed - 13/10/2011 06:22:54 AM 435 Views
Yep, You're correct. - 13/10/2011 06:53:38 AM 353 Views
I think you just pinpointed my basic problem with vouchers. - 13/10/2011 06:36:58 PM 380 Views
Ah, Tricare - 13/10/2011 10:07:59 PM 339 Views
I pretty much agree with this - 13/10/2011 02:03:04 PM 340 Views
No I do not believe they do could do Medicare or Social Security more effectively *NM* - 13/10/2011 06:41:03 AM 142 Views
Care to elaborate? *NM* - 13/10/2011 06:55:21 AM 165 Views
If programs to ensure federal citizen rights were divided among the states it would invite disparity - 13/10/2011 06:50:02 PM 410 Views
<Type Random Subject Here> - 13/10/2011 09:55:04 PM 351 Views
Because some things do not matter much with geography and culture - 14/10/2011 02:20:04 AM 329 Views
Yet again I must disagree - 14/10/2011 05:04:43 AM 352 Views
I agree, it's not necessarily that the need itself changes... - 14/10/2011 09:06:19 AM 326 Views
The first thought that came to mind..... - 13/10/2011 08:55:36 PM 350 Views
I disagree - 13/10/2011 09:49:15 PM 409 Views
Except when its time to retire.... - 14/10/2011 04:03:22 PM 328 Views
Absolutely not *NM* - 14/10/2011 10:55:01 AM 166 Views

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