Governor Kathy Hochul's recent reactions to potential Medicaid budget cuts highlight the complexities in New York's Medicaid program, which currently has the highest per-capita spending in the U.S. Critics argue that Hochul's substantial budget increases during favorable economic conditions reflect poor fiscal management driven by political motives. With an emphasis on exploiting federal funding mechanisms, New York is criticized for diverting funds away from essential patient care, thereby underscoring the need for broader Medicaid reform at the federal level.
Hochul presides over the most expansive and richly funded Medicaid program in the United States, with per-capita spending 82% higher than the national average.
Unfortunately, neither she nor the Legislature have shown any stomach for prudent fiscal management of this massive and vitally important program.
Yet under Medicaid's financing system, federal taxpayers were obliged to match her spree, dollar for dollar.
By exploiting this loophole, Albany plans to pick Washington's pockets for $3.7 billion over two years.
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