For an up-close view of the brokenness in our political and health-care systems, and especially of the way they make one another worse rather than better, you could hardly do better than watch the debate over Georgia’s hospital bed tax. It has it all.
First, there’s Medicaid. It’s the program states can’t live with — no matter how much money they pour into it one year, the cost only rises the next, in part because states have limited control over it — and can’t live without — the federal dollars involved are too numerous to pass up.
Medicaid funding is an inherent contradiction in fiscal responsibility: In order to balance their budgets, states look for ever more ways to get ever more money from a federal government that is ever more in debt. Meanwhile, even as Medicaid funding rises, Medicaid patients have ever more trouble finding doctors who will accept them because of the program’s low reimbursement rates.
So, Medicaid is so broken as to somehow render