California’s budget trick is leaving poor patients to die
The state rigs Medicaid to overpay public ambulance crews while private ones vanish. Response times climb. Coverage collapses. People suffer — and Sacramento cashes in.
California politicians love to brag. GDP near $4 trillion. “Fourth-largest economy in the world.” Progressive pundits cite those numbers as proof that big government works.
But behind the glossy stats sits a system bloated with grift, distortion, and federal abuse. Nowhere does that dysfunction show more clearly than in California’s shell game with Medicaid reimbursements — a sleight of hand known as intergovernmental transfers, or IGTs.
JUNE 08, 2025
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