Rep. Chris Collins» (R - Buffalo) «Buffalo Buyout,» would allow every county in New York except those in the city to avoid paying into the state's Medicaid program, putting city dwellers on the hook for much more spending and potentially
forcing dramatic cuts in Medicaid - funded programs for hospitals and nursing homes.
If these states stopped effectively double - counting their resources, they would have to change laws, upend traditional water rights and likely
force farmers and cities to accept even more
dramatic cuts than they already face — a political third rail.