Medicaid presents related, but somewhat different challenges. As the dominant force in the health market with regard to long-term care, births, and persons with mental illness, it is the next frontier of welfare reform. It is simply too big and too flawed to be administered from Washington.
This is an agenda to improve healthcare, not just to manage its costs. We reject the Democrats’ approach of rationing inherent in Obamacare. We recognize the de facto rationing of healthcare caused by reduced access to doctors who increasingly opt out of participating in Medicare and Medicaid. We will not accept that or any other approach which denies care — or lowers its quality — for America’s elderly.