Megan McArdle
THere is an argument for entirely federalizing Medicaid. But if so we should federalize it, not allow the states to game the system to funnel money to other priorities.
Marc Goldwein
tl;dr -- States are colluding with providers to rip of the federal government and collect far more than their intended Medicaid match. The legalized money laundering has to stop. https://www.crfb.org/blogs/hundreds-billions-medicaid-savings-financing-schemes