In the April 11 article, "State receives more than others for Medicaid," Douglas Turner wrote that New York spends too much for Medicaid compared with other states. He gave no indication that he took the age distribution of the patients in the various states into account. Interestingly, he compared New York to California, a state very different from New York.
While many have left New York in recent years for better jobs and a warmer climate, California has been a mecca for people seeking to relocate. It seems possible that the result of recent relocations may be that New York's population is older than that of other states like California. Also, it may cost more to treat older patients than it costs to treat younger patients. I suggest that Turner reanalyze the data to take other variables such as age into account. He may or may not reach the same conclusion.
Alfred H. Karney