Last week, on the blogger conference call Governor Perry pointed out that:
Washington is going to run out of money in 3-4 years, at which point the states will be on the hook for the full cost; that's when they're going to start pushing single-payer.That is a point that cannot be repeated often enough. Washington is going to run out of money. When that happens, the Medicaid burden will fall on states. When that happens, expanded Medicaid will be an economic anvil for participating states. States that resist the lure of Medicaid expansion today will reap tremendous benefits in 3 to 4 years when Washington runs out of money.
Expanding the current Medicaid system is an economic suicide pact.