Cities are states are free to work the the Federal Government to set up healthcare for their citizens. For example, where I live in NYC (at least prior to Obam

Cities are states are free to work the the Federal Government to set up healthcare for their citizens. For example, where I live in NYC (at least prior to Obamacare) 450,000 New Yorkers without health insurance could go to one of many Community Health Centers funded by Feds, State and other sources as well as go to one of 11 public hospitals. Interestingly, ObamaCare cut the DSH funding to these and similar public hospitals throughout the country. [1] Part of the funding in NY State / NY City comes from $4.35 state and an additional $1.50 city tax per pack on cigarettes. The tax revenues are then put into Medicaid funding which in the case of NY State is matched 1:1 by the Federal Govt. Trumpcare should restore the DSH funding that ObamaCare unwisely cut and increase the funding for Community Health Centers. States should increase tobacco taxes and use those funds to help pay for healthcare for their residents. [1] https://en.wikipedia.org/wiki/Disproportionate_share_hospital https://en.wikipedia.org/wiki/Disproportionate_share_hospita...