Senior Fellow, Manhattan Institute. Opinions my own.
Joined July 2017
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Complaints about boomers are like those about any once-dominant group that's lost its power: cdn.www.census.gov/content/d…
The Great Society didn't significantly increase the generosity of welfare benefits, it mostly just expanded eligibility: ncbi.nlm.nih.gov/books/NBK23…
If the ideal of HCBS self-directed benefits for seniors is essentially close to cash, wouldn't it just better to just reform Social Security benefits (in a budget-neutral way) to adjust for ADL needs?
That would also avoid federalism abuse and inequities.
sciencedirect.com/science/ar…
To be fair, the HCBS Access Act (with 19 Senate D sponsors) side-steps the first concern by establishing a 100% FMAP for HCBS (without any cap!) congress.gov/bill/119th-cong…
The scope of mandatory benefits it establishes is wild.
An R should ask for a @CBO score just for the LOLs...
especially when you read what specifically is being proposed: finance.senate.gov/imo/media…
Medicare For All will get the media attention, but expanding HCBS looks like the mainstream health policy thrust if Democrats pick up Congress: finance.senate.gov/imo/media…
The growth of Medicaid long-term care spending has slowed noticeably since the 2014 ACA Medicaid expansion.
Is this because states would now rather get a 9:1 match for acute care spending on ABAWD expansion enrollees than less than a third of that for the disabled?
