Medicare and Medicaid are pivotal government-run insurance programs, primarily serving different demographics; Medicare caters mostly to individuals aged 65 and older, while Medicaid assists low-income individuals and is co-funded by states and the federal government. In Florida, Medicaid has significant fiscal implications and has seen substantial growth in recent years, with expenditures rising by 33% from 2012 to 2016, amidst debates about expansion under the Affordable Care Act. Although both programs provide healthcare assistance, Medicaid is seen as having a greater impact on the state due to its broader financial implications and management at the state level.

1. Medicare or Medicaid – which has greater impact in Florida?
Above is the answer of 2 peer. I need a response for them
PEER 1
Medicare and Medicaid are the greatest insurance programs run
by the government. However, they are operated and funded by
different parts of the government and primarily serve different
groups. Medicare is run by the federal government and mainly
provide health coverage to individual aged 65 years and above
and those with disability. Medicaid entails collaboration
between the state and federal government and provides health
coverage to low-income. However, there are those how meet
dual eligible criteria. Therefore, as a state and federal-run
program Medicaid has greater effects on state
governments. State governments co-fund the program and are
expected to match federal funding.
From modest beginnings in 1965, Medicaid has grown
significantly from $5.3 billion four decades ago, to $449 billion
in 2013. In Florida, Medicaid expenditures have grown by 33%
between 2012 and 2016. In 2016, the combined state and federal
spending on Medicaid increased by 22%. Over these years, the
federal government has provided between 55% and 60% of
Medicaid funding. During the same time, Medicaid has growth
to more than 75% of the Medicare expenditure and its share of
national health expenditure has almost doubled. Following the
passage of the Affordable Care Act, 2010, states were requested
to expand their Medicaid program (Sutter, 2016). According to
Ward (2020), the expansion of the Medicaid program has met
significant resistant because of its presumed impact on state
budgets. Florida is one of the states that have failed to expand
its Medicaid plan under the Affordable Care Act. Some
stakeholders argue that expanding the illegibility criteria is

2. likely to have significant fiscal implications. Florida is among
the states with the highest personal healthcare spending, ranking
5th nationwide. According to Buettgens (2018), the growing
Medicaid expenditure are not necessarily driven by increased
coverage, but also by changing medical needs, changes in
demographics, and other factors affecting consumption of health
care services. The debate on the cost implications of expanding
Medicaid are likely to persist, but is evident that more
Americans have health insurance.
PEER2
More often individuals tend not to understand the difference
between Medicare in addition to Medicaid. Regardless of them
providing assistance to the senior citizens as well as the
disabled ones in catering for most of the expenses that are
health-related. Medicare is basically a type of health insurance
for the people who are disabled, senior or anyone who is known
to be suffering from a failure of the kidney which is considered
to be permanent. Additionally, it is financed via the
contributions of tax security which is contrary to the Medicaid
(Hu and Mortensen, 2018).
Florida Medicaid is basically a program that depends on the
necessities with benefits which is determined by an individual’s
financial in addition to their medical position. It basically
provides medical insurance to individuals who are considered to
have low incomes in addition to the ones who are disabled. It is
a nationwide program which is funded jointly by the federal
government in addition to the states. The eligibility of
Medicaid, administration in addition to benefits tends to be
under the states’ management which are within the guidelines of
the federal.

3. Medicaid basically is known for having an impact which is great
within the Florida state in comparison to the Medicare program.
It does not provide healthcare which is direct, contrary to that,
it pays the nursing homes, hospitals, health plans, physicians in
addition to other various caregivers particularly for the services
that are covered as well as the ones that have been delivered to
the eligible patients. In Florida State it is compulsory for an
individual to have a Medicaid so that they can benefit from the
healthcare (Munnich and Richards, 2020).