The data are the latest indication of just how big Medicaid has become. And that’s no accident. For years, progressives have advanced policies that have nudged millions more people onto the program’s rolls — to the detriment of taxpayers and the truly needy.
Consider Obamacare, which expanded Medicaid to adults making up to 138% of the federal poverty level, or about $20,000 for an individual in 2023. On average, the 40 states and Washington, D.C., that opted for expansion have enrolled 50% more people and spent about one-third more than originally expected, according to research from the Paragon Health Institute.