medicaid is a program that is washington controlled and it is done in such a way that it stops innovation and experimentation at the state level. it makes it harder for states to customize the medicaid population and program to work for their particular states, and as a result, more and more doctors don't take medicaid. what good is your coverage if you can't get a doctor? and that is a huge growing problem with medicaid. medicaid is also growing at an unsustainable rate, so there's ballooning costs threatening the very viability of the program and our physical future, so what we propose is to modernize the medicaid program, along the lines that we as republicans have been talking about for years. i think it was ronald reagan in, like, the '70s when he was governor who said the states should take over control of medicaid. every budget we have had as republicans, when i was budget chair writing my road maps, every one of our conservative budgets said let's get medicaid