Dr. Vin Gupta

It is run entirely by the federal government.

He is suggesting that states should take it over as though that can just happen overnight.

Medicaid is a federal state partnership, but it's largely funded by the federal government.

The combined set of programs, $1.5, $1.6 trillion largely federally funded.

That's under federal statute as well.

This is not something, again, that states can just increase some state taxes and take this over tomorrow.

No, that requires a significant overall of the tax structure.

That requires congressional approval, which is not easy to do, and a whole redo of our basically health insurance ecosystem and infrastructure that is now

federally run.

So this notion that the states, put aside daycare for a second, because we have a very sort of patchwork approach to daycare across the country.

Medicare and Medicaid are formal programs run by the federal government largely.

And he is now saying that the states, that these are now the responsibilities of states.

That is a significant, significant statement.

And if he meant it

One wonders who's advising him or is he riffing?

Does he know what he's actually talking about?

Does he understand the implications of what that statement that he made today, seemingly off the cuff, those implications?

Does he understand any of that?

Because if you're a Democrat running in 2026, you should be running on that statement, that he wants to transition Medicaid and Medicare to state-based programs.

And here's why this matters, Ben.