Why do we even need to be thinking along these lines? The short answer is because of who Donald Trump appointing to oversee Medicare.
Recently in this space I did a little riff on the idea that elections have consequences. I was referring to the fact that President-elect Donald Trump has nominated Tom Price, a U.S. House member from Georgia, to be the new Health and Human Services secretary.
That nomination troubled me, because if he has his way, Price may well push a plan to turn Medicare into a block grant that would be turned over to the states to run. That means that each state would get a chunk of money to administer Medicare at the state level, though overall federal Medicare funding could be cut a great deal in the process.