Several days ago the U.S. Supreme Court heard arguments in the case of Douglas v. Independent Living Center. The California legislature cut back payments to physicians and hospitals under the California Medicaid program providing medical care for the poor. This case joined three cases brought by private groups to enjoin the State’s action as being violative of federal law relating to the Medicaid program. The issue is whether there exists a private right of action to enforce the provisions of Federal law under the Supremacy Clause of the Constitution that gives the federal government final say over areas in which it conflicts with a state. The following is a transcript of the oral arguments before the court on October 3. The advocates are Karin S. Schwartz representing California, and Edwin S. Kneedler representing the United States siding with California and Carter G. Phillips representing the Plaintiffs. The arguments provide an interesting insight into the process of the court and the complexity of issues arising in this area.