Originally created to serve the poorest and sickest among us, the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.

Summary

This quote highlights the original purpose and subsequent growth of the Medicaid program. It acknowledges that while the program has expanded over time, it lacks the necessary flexibility for states to improve healthcare for vulnerable populations. Despite its initial objective of catering to the poorest and sickest individuals, the quote suggests that the current structure of Medicaid may hinder its ability to effectively address the healthcare needs of the disadvantaged.

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