people vote donald trump receive medicaid get really bad news.for decades republicans want destroy medicaid healthcare program help low income people combination federal state resources.the idea block grant would mostly achieve goal slash amount money federal government provide would shift fiscal responsibility states.according new york time block grant would radical change since creation 1965 medicaid open-ended entitlement people become eligible recession cost go use expensive new medicine state receive federal money.if congress decide create block grant medicaid lawmakers face thorny question huge political financial implications much money state receive initial allotments adjust population change general inflation increase medical price discovery new drug treatments federal government require state cover certain populations service state receive extra money expand medicaid eligibility affordable care act decide future also republicans could punish blue state give less money give money red states.but money run people suffer regardless state live block grant set amount money state would decide want spend money healthcare fund dry basically lawmakers decide get medical care word death panels.massachusetts governor charlie baker tell republicans congress state would likely make decisions base mainly fiscal reason rather health care need vulnerable populations louisiana governor john bel edwards echo concern scenario flexibility would really mean flexibility cut critical service vulnerable populations include poor children people disabilities seniors need nurse home home-based care said.again basically death panel sarah palin freak affordable care act pass real would run state federal government force decide get care impose fund limits.medicaid cover 70 million americans across country many conservatives poor state 70 million people go face great suffer death next four years trump republicans way.featured image spencer platt/getty image trump plan turn medicaid death panel program limit fund