The Future of Universal Health Care Is Medicaid – Slate Magazine

If the Democrats were paying attention, the extent to which Medicaid was the key to defending the Affordable Care Act should be a glowing neon sign. As the party looks to fix real problems with the law, bolstering and expanding Medicaid should be a top priority. Because of its association with the poor and disabled, it will likely face continued assault from hostile lawmakers. Weakening that association, and making it a broad-based program like Medicare, will strengthen it, with the added advantage of expanding the constituency for improvement. In practical terms, that means first pushing for every state—no matter who controls the statehouse—to adopt the Medicaid expansion (19 states have yet to take that step), which would help close a good deal of the nation’s remaining coverage gap.


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