The Atlantic, March 6, 2012

Do you remember the "Louisiana Purchase?" I don't mean Thomas Jefferson's acquisition of land from Napoleon, but rather Democrats' acquisition of Sen. Mary Landrieu's (D., La.) support for the Patient Protection and Affordable Care Act. Landrieu, critics believe, pledged her vote in exchange for gaining $200 million additional federal funds for Louisiana's Medicaid program. Except that, due to a drafting error, the law ended up giving Louisiana $4.3 billion in extra Medicaid funds—more than twenty times the assigned amount. How this happened, and how Congress failed to fully fix it, is a microcosm of our new health law's many flaws.

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