His medicaid sustainable or does it need major changes . Guest how many hours you have on that one . Popular a great, Popular Program that isnt going anywhere. The question is whether it expands or what stays. The 25 of americans are in Medicaid Program. Its a huge program in the issue is will it get a lot bigger or stay the same size . Obviously its very politically controversial, a huge piece of the health care restructure of every state. It is a legitimate, massive policy debate thats a big piece of the budget debate, the secondbiggest program and federal government. A 600 billion a year program. It has grown massively in the last 15 years. I first got involved in 1989, the program is 50 billion a year now at 600 billion a year. When i was at cms in 2001, it was 200 billion a year. It is a massive program with a lot of structural complications which should be fixed. It is also a huge piece of Health Care Infrastructure and critical for a lot of americans and a legitimate Public Poli
The world. It is also alumni glenn. With the discovery of gold not too far south of here and the inability to keep that discovery secret, the news quickly spread. And the ratio of settlers to native people began to radically shift. Prior to the gold rush, there would have been somewhere on the order of maybe under 5000 settlers in all of california. By 1855, that would have skyrocketed to above 50,000 settlers. And the relations were fraught. Not for every group at every moment, but there was a profound sense of racism towards native peoples. The general epithet used was digger indians. In other words, they were regarded as sub human. Because they did not have the kind of technological accoutrements that European American settlers considered standard. Its not because they were not clever enough to figure it out. Because those things were irrelevant to their daily lives. They were able to go, on the coast, you know, when the tide went out here in this part of North Central valley, the m
The world. It is also alumni glenn. With the discovery of gold not too far south of here and the inability to keep that discovery secret, the news quickly spread. And the ratio of settlers to native people began to radically shift. Prior to the gold rush, there would have been somewhere on the order of maybe under 5000 settlers in all of california. By 1855, that would have skyrocketed to above 50,000 settlers. And the relations were fraught. Not for every group at every moment, but there was a profound sense of racism towards native peoples. The general epithet used was digger indians. In other words, they were regarded as sub human. Because they did not have the kind of technological accoutrements that European American settlers considered standard. Its not because they were not clever enough to figure it out. Because those things were irrelevant to their daily lives. They were able to go, on the coast, you know, when the tide went out here in this part of North Central valley, the m
The world. It is also alumni glenn. With the discovery of gold not too far south of here and the inability to keep that discovery secret, the news quickly spread. And the ratio of settlers to native people began to radically shift. Prior to the gold rush, there would have been somewhere on the order of maybe under 5000 settlers in all of california. By 1855, that would have skyrocketed to above 50,000 settlers. And the relations were fraught. Not for every group at every moment, but there was a profound sense of racism towards native peoples. The general epithet used was digger indians. In other words, they were regarded as sub human. Because they did not have the kind of technological accoutrements that European American settlers considered standard. Its not because they were not clever enough to figure it out. Because those things were irrelevant to their daily lives. They were able to go, on the coast, you know, when the tide went out here in this part of North Central valley, the m