There seems a significant difference of opinion as to whether expanding Medicaid will be more costly to the State of North Carolina than the advantages such a broadening would bring about in our state. Adam Searing (N.C. Justice Center) argues strongly in favor of expansion citing job creation and an increase in eligibility and other blessings, not the least of which is the premise it will cost N.C. nothing for three years (Macon County News, Feb. 7). Experience tells us that when the federal government hands out money it comes with serious strings attached.
Searing also claims that by expanding Medicaid, "N.C. will leverage at least $15B in federal funds over the next decade." May I advance the plausibility that if every state received $15B to play with, our national debt (already exceeding $16 trillion) would also expand an additional $750B. God only knows how many hundreds of billions of dollars we have spent on the "war on poverty" since the 1960s, and we have more hand-to-mouth existence now than we did then. Those who profit from poverty have made a fortune. Maybe that's a "wash," we have been taken to the cleaners.