It’s a microcosm of a messy system.
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Let’s pit the question in context with a budget recap from the WSJ …
As ObamaCare came on stream in 2014, spending on Medicaid in exploded.
Annual federal Medicaid outlays rose from $265 billion in 2013 to an estimated $378 billion this year, and they are expected to keep climbing to $439 billion on current trend by 2020.
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But, the projections above are premised “on the current trend.”
The CBO underestimated the “power of free” and enrollments continue to soar way past initial projections.
Further, the Medicaid blowout is likely to accelerate, as states that have so far refused the federal freebie accept that the expansion is here to stay and sign on.
So, who picks up the bill?
The Homa Files 