Obama-appointed fed judge rules Wisconsin must use Medicaid $ to pay for sex-changes for the poor

If you're a hard-working American, or a student, chances are you don't know much about the federal program called Medicaid.  That's a program that uses taxpayer funds to give free medical care to people who make less than some specified income.  The program was established in 1965 under Dem president Johnson, who had what amounted to a rubber-stamp congress after the assassination of John Kennedy ('Camelot") two years earlier. 

Medicaid is the largest source of funding for medical care for low-income U.S. residents, providing free health care [the Medicaid website cleverly calls it "health insurance"] to 74 million low-income and disabled people (23% of Americans) as of 2017.  It's jointly funded by state and federal governments but supposedly "managed by the state."  The gruberment website says "each state currently [has] broad leeway to determine who is eligible for its implementation of the program."

This, of course, turns out to be a lie.  Wait...my bad:  Not a "lie."  Perish the thought!  It's merely an "inoperative statement."  A mere typographical error.  It's simply, mistakes were/are made, just like the FBI.  Cuz us unelected bureaucrats are merely human just like you, right citizen?

Turns out the "broad leeway" the states supposedly have to determine who's eligible for what services can be overturned by a single, unelected judge.  But we'll get to that in a minute.  First see if you can find the "wooly-booger" (i.e. giant screaming contradictory loophole) in the following 'graf:

States are not required to participate, but those that do must comply with federal Medicaid laws under which each participating state administers its own Medicaid program, establishes eligibility standards, determines the scope and types of services it will cover, and sets the rate of payment....The federal Centers for Medicare and Medicaid Services (CMS) monitors the state-run programs and establishes requirements for service delivery, quality, funding, and eligibility standards.

Okay, the bold-face may have been a clue:  See, the states supposedly had the authority to determine the type of services it would cover, and who's eligible.  Except all that marvelous language is crap, since whatever a state decides must obey the bureaucrats at CMS.  And as you might guess....

Of course in the authorizing legislation congress, in its infinite wisdom, explicitly stated that one of the "necessary services to be covered" was sex-change surgery for any poor person who identified as a member of the opposite sex.

Wait, my bad:  Congress did no such thing, cuz back then even the Dems knew that voting for that would have gotten them un-elected.  And sure enough, ten states passed laws barring their state agencies from having taxpayers pay for sex change operations under Medicaid.  That law had been on the books for 22 years.

But federal judges gayly overturn state laws passed by deplorables, and sure enough last month an Obama-appointed federal judge in Wisconsin (William Conley) ordered the state to pay for sex-change operations for the poor.

Two persons identifying as members of the opposite sex sued in April, claiming Wisconsin's rule denying all coverage for such surgeries violated the Affordable Care Act and their equal protection rights.  Wisconsin's rule, he said, "feeds into sex stereotypes by requiring all transgender individuals receiving Wisconsin Medicaid to keep genitalia and other prominent sex characteristics consistent with their natal sex no matter how painful and disorienting it may prove for some."

No, moron, it does no such thing.  Trannies are welcome to cut off any body part they don't like.  The Wisconsin law merely declines to force the state to pay for those operations from their limited Medicaid funds.  Are we clear on that yet?

Nah, didn't think so.

Conley also said he wouldn't stay his order if the state chose to appeal it.

BTW, the ruling came in the form of Summary Judgment, meaning it didn't go to trial and wasn't heard by a jury.

Aside from compelling taxpayers to pay for something congress never envisioned, the other issue here is whether sex-change ops are medically necessary or just a desire.  Not surprisingly, doctors who specialize in transgender patients say it's "often" necessary.

So who in the gargantuan Medicaid bureaucracy ruled that every state must pay for sex-change ops for people too poor to afford 'em?  I mean, that must be a federal rule or else judge Conley couldn't have supported his rule, eh?

We'll never know.  All we do know is that the CMS issued a rule that explicitly supported sex-change operations, and that was the end of that.

Oh, the "Affordable Care Act" may have had something about that too, but right now I have no desire to wade thru 1200 PAGES of bureau-babble.  That too was passed without a single GOP vote.  Hmmm....

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Source here.  And note how the "reporter" slanted the article to favor Conley's ruling.