09. Federalizing the Administration of Medicaid

Abstract

This chapter presents an argument for the federal domination of Medicaid Administration. Unlike the other chapters, this one includes no counterpoint, no position paper exploring state control of Medicaid Administration due to one participant's inability to sufficiently research the area. While we consider the omission a serious one, there are a few mitigating circumstances. First, the state control perspective is essentially an argument for the status quo which suggests that little which is fresh or innovative would be included. Second, the system of state control for large federally-funded programs that provide local services has been extant in this country for the past decade. Two notable examples, the Comprehensive Employment and Training Act (CETA) and Community Development Block Grants, have long provided us with state control management models.