The process is being driven by a narrow focus on the need for budgetary savings.
Salary and price increases are likely to offset the perceived budgetary savings.
"A one percent increase in the tax collection rate will produce a budgetary savings of $202,000," the state reported.
But the governors, in the draft of their new policy, say they "have already contributed to significant budgetary savings by controlling Medicaid growth rates."
The main reason, assistants say, is that changing the health system promised big budgetary savings.
"In all, those automatic cuts would produce net budgetary savings of about $1.1 trillion over the 2013-2021 period."
This proposal is not particularly popular (few ideas that would generate large budgetary savings are.)
The reasons included concerns about abuse, a desire to set limits on what noncitizens could demand from the Government and enormous budgetary savings.
What kind of credibility can an institution have that claims to combat social dumping when its approach to budgetary savings is to outsource services?
The project was postponed to allow budgetary savings made necessary by the consequences of German reunification.