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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 MrFarstrider - 13/10/2011 05:08:14 AM 614 Views
No. MightyYT - 13/10/2011 05:59:07 AM 400 Views
Re: No. MrFarstrider - 13/10/2011 07:07:14 AM 388 Views
Re: No. Macharius - 13/10/2011 01:59:58 PM 379 Views
Economy of scale applies to every private bureaucracy, but not government ones. Joel - 13/10/2011 06:53:44 PM 371 Views
of course economy of scale applies just like diseconomy of scale random thoughts - 13/10/2011 10:38:45 PM 455 Views
And both are a function of size rather than government. Joel - 14/10/2011 11:08:53 AM 470 Views
This is a ridiculous claim MrFarstrider - 13/10/2011 09:44:35 PM 373 Views
you can do it with block grants random thoughts - 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* Roland00 - 13/10/2011 06:42:34 AM 150 Views
That is a BS argument random thoughts - 13/10/2011 02:08:23 PM 367 Views
Medicaid is already state-managed Isaac - 13/10/2011 06:22:54 AM 466 Views
Yep, You're correct. MrFarstrider - 13/10/2011 06:53:38 AM 383 Views
I think you just pinpointed my basic problem with vouchers. Joel - 13/10/2011 06:36:58 PM 425 Views
Ah, Tricare Isaac - 13/10/2011 10:07:59 PM 385 Views
I pretty much agree with this LadyLorraine - 13/10/2011 02:03:04 PM 368 Views
It may still be a better option though, but I wouldn't consider it a likely great success story Isaac - 13/10/2011 09:23:16 PM 454 Views
No I do not believe they do could do Medicare or Social Security more effectively *NM* Roland00 - 13/10/2011 06:41:03 AM 153 Views
Care to elaborate? *NM* MrFarstrider - 13/10/2011 06:55:21 AM 178 Views
Would you rather have 50 insurance companies with different pay structures or 1? Roland00 - 14/10/2011 02:14:23 AM 382 Views
If programs to ensure federal citizen rights were divided among the states it would invite disparity Joel - 13/10/2011 06:50:02 PM 458 Views
<Type Random Subject Here> MrFarstrider - 13/10/2011 09:55:04 PM 384 Views
Because some things do not matter much with geography and culture Roland00 - 14/10/2011 02:20:04 AM 362 Views
Yet again I must disagree MrFarstrider - 14/10/2011 05:04:43 AM 389 Views
I agree, it's not necessarily that the need itself changes... LadyLorraine - 14/10/2011 09:06:19 AM 352 Views
Think about fire, how much need will Alaska have for fire trucks? *NM* Roland00 - 14/10/2011 12:30:05 PM 156 Views
Some issues are exclusively local and best handled there, as are some resources. Joel - 14/10/2011 11:22:46 AM 383 Views
The first thought that came to mind..... Jeordam - 13/10/2011 08:55:36 PM 380 Views
I disagree MrFarstrider - 13/10/2011 09:49:15 PM 439 Views
Except when its time to retire.... Jeordam - 14/10/2011 04:03:22 PM 355 Views
Absolutely not *NM* Two Wongs - 14/10/2011 10:55:01 AM 183 Views
Depends on the state and its legislators, doesn't it? But, generally, no. *NM* Palatine - 14/10/2011 06:50:13 PM 155 Views
Pick your rapist and tell me why it makes a damn bit of difference. *NM* Cannoli - 15/10/2011 05:06:50 PM 161 Views
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