Ending them as they are.
People will never be denied care in emergencies, won't happen. Medicaid needs to exist mostly to cover that cost, not primary care. There are outfits doing primary care for $30 a visit. There is a market that can be filled (the benefit of primary care is overstated, IMO, 90-something % of what GPs see is self-limiting anyway).
As it is, medicare pays more now than anyone paying in could have reasonably expected. The drug beni (stupid Bush) needs to be eliminated 100%. No one receiving it now paid a penny in expecting it. 100% repeal of that. Medicaid is nothing more than charity, we can do to it what we like. We should remember it is CHARITY care. If you have a good year at work, you donate more to charity. If business is rough and you can barely make payroll... you stop giving large donations to charities. If our balance sheet (the USA) is in () then we cannot afford much charity.
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