A nurse in Alaska since the 1970's block grants from the Feds have been a plank of the GOP for decades. Block grants have been vetted heavily in the past since it was being considered. These grants have many problems about how the delivery of health care by each state who that would receive federal funds to do it would be  a fair distribution back to state residents since it is using money from federal taxes that are collected from all of the states, will some states give better health care or will some just scrape the bottom? Basically with Block Grants, the feds are handing each state a chunk of money, no oversight, no questions asked, just spend it as you will. Federal funds given to states for health care now have regulations that assures tax payers that funds that are provided to the states for health care are spent on that. No, I don't want to have to hold the state accountable of how they spend federal money on healthcare on the most vulnerable residents of my state.