http://story.news.yahoo.com/news?tmpl=story&cid=519&ncid=718&e=2&u=/ap/20050219/ap_on_re_us/rethinking_medicaid53 minutes ago
By ROBERT TANNER, AP National Writer
Governors of both parties are uniting to oppose President Bush (news - web sites)'s proposed cuts to Medicaid while also pushing for much larger changes, arguing that soaring costs have forced a fundamental re-examination of the program that provides health care to 52 million poor, elderly and disabled.
Hearkening back to the state-inspired reforms of the welfare system a decade ago, governors already are experimenting with approaches aimed at cutting costs: market-driven reforms, multistate cost-sharing on drugs, technology that can reduce medical errors.
Now they're hoping to convince Congress and the Bush administration that they should be given more freedom to alter the $300 billion federal-state safety net. Many stress that while cutting costs they also want to broaden access to health care.
"Medicaid as it currently exists is non-sustainable in the long run. If you do the numbers, they just don't add up," said Iowa Gov. Tom Vilsack, a Democrat. "If we don't get Medicaid solved, what you basically do is put governors in the position where they've got to pick between grandchildren and grandparents."
The governors are up against the Bush administration's effort to rein in costs as it seeks to cut the federal deficit, and also against advocates for the poor and for health care providers who worry that a push to "flexibility" is just another way to cut people from care and shortchange the medical profession......