“This is where the proverbial rubber meets the road. Congress can shrink the size of Medicaid, but it will force states, including Pennsylvania, into an unthinkable position and create havoc as they contend with enormous budget shortfalls.
States will have to choose which of their vital programs to cut. Do you reduce services for specific populations like children, older adults, or people with disabilities? Do you cut substance use treatment – amidst the ongoing overdose crisis? Or do you cut funds to other essential services like K-12 and higher education, transportation, and public safety?”
Medicaid cuts will force Pennsylvania to make impossible choices | Opinion – pennlive.com