What are some reasons for increased Medicaid expenditures in the early years of the program?

Understanding how Medicaid evolved over time is crucial for grasping how a program described as “only for the poor” became a middle-class entitlement. The three expansionary seeds embedded in Medicaid’s beginnings – medical indigency, comprehensive benefits, and intergovernmental financing – have pushed this program in ways no one quite envisioned. What are three different views of Medicaid? What are some reasons for increased Medicaid expenditures in the early years of the program? What is one big reason it can truthfully be said that Medicaid is not just a poor people’s program?

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