But the congress and the government created a situation where the states are rewarded for cutting traditional medicare which deals mostly with children and people who are in greater need and that because of that disincentive or incentive to spend it on the new folks, the newly found undermedicaid, under the new categories, we create the situation where states have to make a decision as to whether they quicken the shortage on the waivers, get rid of the waivers as fast as they can or spend money somewhere else. Is my understanding correct . Yes, theres both direct and indirect outcomes as related to expansion and my point is that we are not fulfilling the promises to the most vulnerable in our society, wait list or not, but we are making new promises to an ablebodied population that does not qualify for longterm Welfare Benefits and states in a situation where they have to make very tough decisions and making cuts in reimbursement rates that directly impact those with development, disab