To end the government shutdown, Democrats are still demanding a reversal of Medicaid reforms in the One Big Beautiful Bill Act that shift back to the states about $900 billion of spending that has been assumed by Uncle Sam in recent years in contravention of Medicaid’s original compact as a 50/50 financial partnership between Uncle Sam and the states.
Since states cannot run deficits – most state constitutions require balanced annual budgets, a return to the original arrangement would put a brake on the hyper-growth of the Medicaid program.

This runaway spending has been abetted by the Center for Medicare and Medicaid Services (CMS). Moving decisions closer to the people would curtail the oft-dubious behavior of federal bureaucrats.















