Review and Comment: Alternative to more Medicaid

Two weeks ago in this space, we presented counter-arguments to the politicians and others who say Florida should take billions of borrowed federal tax dollars to expand the state's Medicaid health system to uninsured Floridians.

This week, we're focusing on an alternative.

Before you get to the details, though, no matter what alternatives anyone presents — even if they make common sense, are affordable and compassionate — they are an exercise in futility. Their adoption is unlikely because of two overriding reasons: The members of Congress do not have the political will or courage to do what must be done, and the vested interests in the status quo (namely the bureaucracies built up around this system) would undermine its reform.