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1. In many states, Medicaid is the largest line item in the state budget. Why have Medicaid costs increased, and what can states do to contain Medicaid costs? 

 

2. What are the advantages of Medicaid expansion to patients, potential patients, providers, states, and the federal government? 

 

3. The federal government is financing most of the cost of the Medicaid expansion. What is the government’s rationale? 

 

4. Ultimately, states will be responsible for 10 percent of the cost of the expansion in their states. How will the states handle this cost? 

 

5. Some states argue for block grants from the federal government to the states in lieu of federal money for expansion. What are the advantages and disadvantages of this argument? 

 

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