financial considerations in health access

In considering how Medicaid is jointly funded by the U.S. federal and state governments, how has this funding structure positioned Medicaid so that it has both offered opportunities for public health and financing innovations (e.g. ACO’s, Expansion, Waivers, Work Requirements)

– while also making it vulnerable to political shifts and policy retrenchment (e.g. reductions in access)?

What modifications could improve it, if any?

(Keep political feasibility in mind!)

Please post your 2 paragraph response to this DB!

You can also use this Interesting article re: why single-payer health care is not politically feasible in the U.S., nor most U.S. states;