There are crocodile tears seeping from between the lines in this WaPo article.
Facing a severe budget shortfall, Rhode Island officials are seeking unprecedented authority to rein in Medicaid spending in a move that has alarmed Democrats in Congress and advocates for the poor.
The plan outlined by Rhode Island officials could save the state millions of dollars, but critics say it would limit access to nursing homes, charge poor families more for medical care and potentially establish waiting lists or cut people from the program.
But the real weeping starts when states let Medicaid completely consume state budgets. It’s an unfunded liability that we can’t afford to let go over a cliff. Reining it in is step one. The next step is to offer poor people private alternatives using refundable tax credits and access to HSAs.