Politicians in Washington have mastered the art of talking about health care reform without ever delivering results. However, the One, Big Beautiful Bill Act has begun to actually implement common-sense reforms to important programs like Medicaid. Hopefully, this is the start of a broader effort to address the federal government’s decades of mismanagement of health care programs.
Medicaid, which began as a last-resort lifeline for pregnant mothers, people with disabilities and low-income seniors, was recklessly expanded by the Affordable Care Act, aka Obamacare, in 2010 into an open-ended entitlement that made healthy, working-age adults eligible for government-sponsored health insurance. The result was predictable and tragic: As new beneficiaries compete for limited health care providers and resources, access to care for traditional Medicaid enrollees has steadily deteriorated.
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