Wyoming Liberty Group
Every year, Wyoming taxpayers spend hundreds of millions of dollars on Medicaid. Yet we have little to say in its management. The federal government mandates who Medicaid covers, what it pays for, and how it pays doctors. Because of all these mandates, Medicaid has grown too large and cumbersome to ensure patients have reliable access to quality healthcare.
Boyd Wiggam and Doug Randall discussed placing leaflets on car windows, political yard signs and constitutional free speech protection on KGAB. Cheyenne, like many governments, has a history of trying regulation speech. Boyd Wiggam and Doug Randall the recent history of censorship in Cheyenne, the recent discussion about the right of individuals to put flyers or leaflets on car windows, and ongoing complaints about unpopular political yard signs.
State revenues are declining dramatically and are expected to continue to decline. That means big ticket items, even crucial ones like K-12 education, must feel the pinch. No one wants the quality of education in Wyoming to drop, but the spending on it must decrease. Why? The Consensus Revenue Estimating Group (CREG) projected in January that total minerals distributions in the five-year period 2016-2020 would be 29 percent or some $2.6 billion less than in the five years 2011-15. That will require real efficiencies and they can only be found where real dollars are being spent.
We often point to the third-party payer problem as the cause of the explosion in health care costs. Insurers pay doctors who provide services to patients. This separation of payer and patient means the patient has little incentive to question the cost or even the quality of service.
Now imagine what would happen if a big part of a state’s spending is funded that way.