treatment, there is nobody who doubts but that a lot more people are going to die and not get the care that they need. so if we are concerned about the opioid epidemic, the idea of cutting a trillion dollars from medicaid, which is one of the major sources of funding at a local level to deal with the opioid epidemic is absolutely crazy. thank you, senator. i want to stay on the issue of medicare but not medicaid expansion. medicaid currently enshurz roughly one in five americans including horror income americans. republicans have been advocating to reduce federal funding for the program which would force states to make some decisions on their own. woman from maryland has a question for senator cassidy. senator cassidy, is medicaid funding gets shifted to the states and they cap and cut medicaid optional services like home and community based assistance which currently allow me to live and thrive