Medicaid has become more like an ever-widening fisherman's gill net, as state after state becomes ensnared and flails about in a desperate attempt to survive. ... With states suffering from repressed revenues because of a gasping economy, Medicaid's ravenous growth couldn't come at a worse time. Because the elderly account for a significant portion of Medicaid spending and the baby-boom population is approaching retirement age, such growth is going to create more serious problems. ... Getting more federal cash is important, but perhaps more important, the Medicaid system is due for an overhaul.
-Columbus (Ohio) Dispatch