[Hilift]

This isn't about consumers or decisions. Rick Perry stated in the 2012 election that he would eliminate several departments, including Energy, Education, and Interior. The Republicans don't want life centralized around a federal government. The current state of the debt will also make it very easy to jettison Medicaid. Nearly all state and local governments today are incentivized to solicit federal aid for education/medicare for ~30% of their budgets, which is a curiously fragile design.