To understand the state of Medicaid today, it is important to understand the costs of the program and the expenses state legislatures face every year.

In good economic times, there is generally enough revenue to fund the program and little or no budget alteration is needed. But when times are tough (and these past few years have seen America in its most precarious financial situation in decades), the job becomes exceedingly difficult. 

Cuts to Medicaid are difficult to make, yet that is what virtually every state has had to do over the last few years to one degree or another.

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