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sg92i t1_j9vsyn4 wrote

> yet Democrats run the whole state

That's ridiculous. The GOP has had a deathgrip on most of Pennsylvania for ages. Look at this chart under "historical party control."

https://ballotpedia.org/Party_control_of_Pennsylvania_state_government

That's a lot of red.

The state senate has been republican forever. The state house is usually republican and just recently turned blue (for the first time in over a decade), by a tiny majority that doesn't mean anything if just a handful of those democrats are right-leaning (which you can almost count on).

Nonetheless: Medicaid and EBT is state/county managed but the feds set most of the rules & funding.

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Kairenne t1_j9w44ud wrote

The Feds set ALL of the rules for those benefits.

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sg92i t1_j9w4hl0 wrote

Not all of the rules. IDK about EBT but there is a lot more variety for medicaid at least than you'd assume once you look at how jurisdiction to jurisdiction differs in terms of dental coverage, or whether medicaid was expanded at all (some states still haven't).

In some states you can't even get dentures under medicaid until you have a mere 4 teeth left.

Also some states allow for medicaid buy-in and some don't.

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TheJediJoker t1_j9vuyez wrote

Ok so my point on it being state run bares no impact on the current changes So it's on the Federal Level? Also mostly ran by Democrats.

But I'll keep reading up on it, I may be missing something

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PinsAndBeetles t1_j9w3zjh wrote

The GOP fought tooth and nail against Medicaid expansion as part of Obamacare. Many red states opted not to allow the income limit for adults without children (yes, including Florida, Texas, and Mississippi) to increase, thus allowing million to go uninsured or underinsured even though the Federal government subsidizes the cost. Even before the House went red even if every single Democrat voted for expanded healthcare (which they likely would) the filibuster doomed the chances of that happening. At a state level PA only opted into Medicaid expansion after Wolf took office, and within a few years 300,000 Pennsylvanians who were otherwise uninsured became eligible for Medicaid. The overall nightmare that is US healthcare will never improve unless half of the people in charge realize that access to healthcare isn’t a handout, it’s an investment in a stronger, healthier population but of course to fund it all their rich friends would need to pay higher taxes.

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