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editorial

Making Medicaid a block grant would curb vital services

Of all the federal programs discussed in last week’s presidential debate, an important one got short shrift: Medicaid. And it’s more pressing than many other health care issues, because so many elderly people rely on it as virtually their only source of funds for long-term care.

There are stark differences in how the two candidates would approach Medicaid, the federal health program for the poor that also covers 60 percent of the Americans living in nursing homes. Mitt Romney aims at much larger savings, but would sharply reduce the number of people with health coverage. The Obama administration, which is already expanding Medicaid to cover millions of new recipients under Obamacare, wouldn’t endanger anyone’s coverage. But neither would the administration’s plan lead to much reduction in projected spending.

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