Maybe Carson is angling for surgeon general or something, which is mostly a figurehead post these days.
But only mostly, which would make that scenario another reason to not vote trump. Carson is/was a damn good neurological surgeon. That doesn't mean we want him anywhere near any other facet of medicine.
As for Medicare and Social Security, it seems that he wants to do the same thing- block-grant the funds to the states after cutting out most of the federal management of the programs and leaving it to the states. If that's a good thing, I am not sure; this isn't something that I particularly looked in to.
It's quite possibly the most fucking terrifying thing I've heard in years regarding the management of the programs noted. You want to know how to turn the medicare and social security systems into a swiss cheese hellscape of mismanagement? Remove all or near all federal oversight. Same for education, really. The rough rule of things in most areas of the US is that just about the only thing less competent and more corrupt than federal management is
state management, and inflicting that on
everyone instead of just the states stupid enough to vote for it is just... something that can't be adequately described without violating the forum ToS.
Plus removing most or all of any unifying elements between the states (which is exactly what that would require) means that the standards of the systems in question become a complete and total crap shoot, and any to all coordination/communication between them becomes an utter goddamn
nightmare. What you're describe is indeed a mandate to completely destroy what it's applied to.
Actually, it's also something that is quite frankly
concentrated hate towards the younger, more mobile generations. You think the paperwork problems involved with moving is bad
now, shit like that would treble or better it, and gods don't even want to consider what it would do to the costs involved.
Just... holy shit. Whoever it was that suggested that as policy, as the cognitive disruption from the suggestion in question has already caused me to forget, should be legally barred from ever engaging in non-personal economic interactions, and possibly shot for the good of mankind should they ever manage to get into a position capable of influencing political policy. Sweet christ-humping dog on a quantum powered pogostick, it makes my brain hurt.