A comparative look at the two states' programs can help reveal how the states differ in their goal of providing health care while trying to contain health care costs.
Health care costs are covered through a variety of different sources such as employer provided insurance, Medicare, Medicaid, and individual insurance plans. In Texas, 47 percent of the population is insured through their employer, while the number is 52 percent in New York (Kaiser Family Foundation 1). In addition, New York has 19 percent of its population insured through Medicaid compared to only 12 percent in Texas (Kaiser Family Foundation 1). Medicaid is jointly funded through the states and matching federal funds, which is dependent upon the income level of the state. The matching rate varies between 50 percent and 72.29 percent, with the poorer states getting the larger amount (Flowers 3). While New York receives equal matching funding, Texas gets $1.50 for every $1.00 they contribute (Kaiser Family Foundation 2). Because the eligibility is income dependent and is based on a rate set by the states, the differences in total spending can be significant. Texas's total Medicaid spending for 2006 was $18.1 billion, while New York spent $44.7 billion on the program (Kaiser Family Foundation 2). ...Show more