The Blog at MSPC

Supporters of the current system often emphasize that the federal government pays the majority of the cost. That is true. But it misses a key point: the state share still approaches $1 billion annually, and it grows as the program expands.

The Treasure State is taking important steps to help control the exploding costs of Medicaid while providing critical care to the neediest. Montana is submitting a 1115 Medicaid Demonstration waiver application to allow experimentation with reform. Other states should follow this good example.

Medicaid is a joint federal and state-controlled health care insurance entitlement. It is not financially sustainable in its current form unless the federal debt or taxes are significantly increased.