The Medicaid Program and the Health Care Walk

Adam Michelle: The Medicaid program is this vast ocean of waste and perverse incentives. Michael Cannon: High tax states are using the Medicaid program to protect themselves against interstate competition from competitive federalism. They say, oh, well, you know what, there's this tiny increment that these low income states get that comes from us," he says. "For an irony junkie like me, those sorts of complaints ... they're just the hit I need"