Tom Coburn actually said...

"If we were to block grant Medicaid to the States, making them fully responsible--not taking away any of their dollars, making them fully responsible, take the Federal laws, let them do it, what we wil..."

"It is not about second-guessing. It is about holding people responsible."

"Well, I think that tells us one problem: No accountability, no responsibility, no consequence for failure."

"We also had testimony on MSIS audits that they do not include provider identification. These audits are worthless if you cannot source data to the provider, because that is where it starts."