While Nobody's Watching, Paul Ryan Is Taking A Sledgehammer To Medicaid's Promise To Seniors

``The new version of the program would ... devolve Medicaid to the states and reimburse them using a predetermined formula that, as the Congressional Budget Office and other experts have concluded, would not actually keep up with the cost of care. As the federal contribution toward Medicaid eroded over time, states could make up the difference on their own or ― more likely ― they could make cuts in who or what the program covers. The federal guarantee would be over, and with it, the Medicaid program as we know it. ''