Based on the Supreme court decision, do you agree or disagree that Medicaid expansion violates Congress’ spending clause power as unconstitutionally coercive of states because all existing Medicaid funds at risk and states not given adequate notice to voluntarily consent?
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The Affordable Care Act (ACA) required that the states expand their eligibility for Medicaid or otherwise lose any related funding. The Supreme Court ruled that the nature of the coercive mechanism included in the Act, was unconstitutional (Sack, 2011). The ruling allows states to opt-out of the Medicaid expansion, without necessarily losing their funding. While the gist of the ACA Medicaid is intended to help the people, the withholding of funding seemed like the government’s attempt to arm-twist the state leaders and the federal government. The court’s ruling was justified citing that the..
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