At a cost of $500 billion a year and rising, Medicaid enrolls poor Americans into substandard coverage with poor access to doctors and inferior health outcomes. ObamaCare’s Medicaid expansion unconscionably furthers their second-class health-care status.
Instead, Medicaid should be redesigned as a bridge toward affordable private insurance. Reformed Medicaid should include a private-insurance option with catastrophic coverage but few coverage mandates for all enrollees. Current federal support should also initiate funding of health savings accounts. And states should be required to meet enrollment thresholds into private insurance to maintain their federal funding.
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