I work in Medicaid tech. You’d say it’s negligent for a state to receive federally matched dollars which by the constitution should be touched by the legislatur

I work in Medicaid tech. You’d say it’s negligent for a state to receive federally matched dollars which by the constitution should be touched by the legislature only? Is it negligent to take money matching your own spend, thinking in a lawful regime, only congress could stop the dollars flowing? The problem inherent in your post is it is not easy for a petulant politician normally, but blatant law breaking, ignoring judges, passing over the separation of powers: this is not “easy”. This is remarkably unusual, for decades republicans spoke of this and nothing happened. Until the fasicism creeps in and the cult of personality takes hold. So speaking like we should go be 50 of our own countries, reinvent every wheel 50 times, you’re sacrificing massive efficiency and cost saving gains to do so. It’d take someone who doesn’t care for his people to throw a grenade into Medicaid, and the current admin certainly doesn’t care for its people.