A letter writer in Saturday’s Wall Street Journal‘s Letters section offered an alternative to the provider tax so many States assess. The provider tax is a tax States levy on hospitals that, in the depths of the scam, the States use to get a larger allocation of Federal fund transfers into their Medicaid programs, which then reimburse those hospitals for their provider tax remittances to the State.

The letter writer suggests

If states collected taxes from other sources, channeled the revenue into their Medicaid programs and continued to provide the same services, they would be entitled to the same federal matching as they are today. Nothing would need to change.

The false premise from which this letter writer proceeds is this: the need for those tax dollars in the first place is not at all established. On the contrary: Medicaid is a State-run program and its payouts are entirely controlled by that State. As such, each State’s Medicaid program should be funded entirely and exclusively by the citizens of that State. There is no need for the Federal government to transfer the tax remittals of the citizens of any other State (much less all of them) to any State for its Medicaid program.

Indeed, were each State to retain those tax dollars rather than sending them to the Federal government, the citizens of each State would be better able to fund their State’s Medicaid program.