Patient on gurney
Patrick Ishmael

My colleague Elias Tsapelas has produced a lot of excellent research on Medicaid over the last few months. And this important work will continue: Medicaid spending already constitutes a third of Missouri’s budget and is growing rapidly, which will put mounting pressure on other state priorities. Missouri will eventually have to decide whether it’s a government that sometimes provide health care benefits or a health care provider that sometimes governs.

The existential risks of an unreformed Medicaid program are not, however, the only health care issues that Missouri should grapple with next year.

There will be many important items on policymakers’ legislative agendas in 2020. Medicaid reforms should be a high priority—not only as a health care priority, but as an issue that will affect the state’s financial health well into the future. But legislators should also not forget that great progress can be made for Missouri patients through other legislative changes, and I hope these largely modest reforms make their way onto the agenda.


About the Author

Patrick Ishmael
Director of Government Accountability

Patrick Ishmael is the director of government accountability at the Show-Me Institute.