Who should we cover?

California and New York are having serious discussions about how to handle Medicaid spending. Kentucky must do the same -- and quickly -- before we face an actual decline in revenues.

"There is more flexibility in Medicaid than education," says Ann Kohler, director of the National Association of State Medicaid Directors in Washington. D.C. "You can define who to cover and how to set rates."

Now that Gov. Steve Beshear has come out of the closet in favor of avoiding prioritization on spending issues, we can only hope cooler heads might prevail upon him to start making the hard decisions instead of pushing tax increases.