Among Medicaid’s many flaws, the program has become a race to the bottom for the states. Thanks to the 90% federal match for non-disabled working-age adults, the states are financially rewarded for wasting money.

You couldn’t come up with a more perverse incentive scheme.

This, no doubt, explains why the costs are spiraling out of control in New York, which spends triple per enrollee what Utah spends, according to the Empire Center.

New York also has rampant home health care fraud in the Medicaid program.

Amazingly, New York is number one in Medicaid spending, but all that “free” money from Uncle Sam isn’t making The Empire State any healthier.

The federal reimbursement formula should be based on how much money each state SAVES, not how much it wastes.