Byline: James J. Coyne
In my 13 years as Albany County executive, I have lived through the adoption of 14 state budgets, every one of which has included arguments over the amount of state money that goes for local assistance. This is a marvelous catch- all label that conjures up images of great piles of state tax dollars being generously turned over to the locals for us to play with. These annual skirmishes come and go with little explanation of the reality of local assistance.
As a county official, my personal favorite local assistance program is Medicaid, the federally initiated programs that pays the medical (and related) expenses of those unable to afford …

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