Originally created to serve the poorest and sickest among us the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.
Under President Obama's new health care law Medicaid will become a very different health coverage program than first envisioned.
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The national debate on health care once centered on improving access to quality care yet the effect of Obamacare will be the exact opposite resulting in the shameful degradation of care for the neediest individuals.
