I've been wondering what the point is of "block grants."  Aren't the people who pay the taxes that pay for the block grants living in states?  Aren't they the same people who pay the federal taxes?  Why not just end federal involvement in health care and, under the 10th Amendment, do what should have been done all along: let the states figure it out and tax their own people to pay for it, and cut out the middle man?  There is no enumerated power in the Constitution that gives the federal government the power to provide health care.

I have far fewer objections to state and local government because they're more accountable, I can talk directly to them, and they have to balance their budgets.