Changes in the federal responsibility for financing the program must be accompanied by clearly articulated statutory changes to Medicaid to enable states to operate effectively under a cap. The Senate bill does not accomplish that. It would be a transfer of risk, responsibility, and cost to the states of historic proportions.
CAPE GRIM, Tasmania — On the best days, the wind howling across this rugged promontory has not touched land for thousands of miles, and the arriving air seems as if it should be the cleanest in the world.
But on a cliff above the sea, inside a low-slung government building, a bank of sophisticated machines sniffs that air day and night, revealing telltale indicators of the way human activity is altering the planet on a major scale.
For more than two years, the monitoring station here, along with its counterparts across the world, has been flashing a warning: The excess carbon dioxide scorching the planet rose at the highest rate on record in 2015 and 2016. A slightly slower but still unusual rate of increase has continued into 2017.
Scientists are concerned about the cause of the rapid rises because, in one of the most hopeful signs since the global climate crisis became widely understood in the 1980s, the amount of carbon dioxide that people are pumping into the air seems to have stabilized in recent years, at least judging from the data that countries compile on their own emissions.
That raises a conundrum: If the amount of the gas that people are putting out has stopped rising, how can the amount that stays in the air be going up faster than ever? Does it mean the natural sponges that have been absorbing carbon dioxide are now changing?