Every entitlement program has been a fiscal disaster. With hindsight, it is easy to see that it was folly for Congress to abandon responsibility for budgeting fixed sums for such programs as retirement benefits and seniors’ health care, instead setting eligibility criteria that created open-ended liability on the part of the federal government–open-ended, that is, until the programs become patently unsustainable and must be reformed or repealed. Which is where we are today.
Of the major entitlement programs, Medicaid has gotten the least attention. Yet, in fiscal terms, it may be the most disastrous. Dan Mitchell of the Center for Freedom and Prosperity explains how Medicaid can be reformed:
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