Medicaid: An Evolution from Welfare to a $800 Billion Giant
In the realm of American healthcare, few programs have had as significant an impact as Medicaid. Originally launched as a welfare initiative, this crucial program now serves approximately one in five Americans, reflecting a staggering growth trajectory over its 60-year history. With costs exceeding $800 billion, Medicaid has become a central pillar of the U.S. healthcare system.
Understanding Medicaid’s Size and Scope
At the outset of the video titled "Medicaid Covers 1 out of 5 Americans. How Did It Get So Big?" by WSJ, the sheer scale of Medicaid is laid bare, highlighting its role as a lifeline for millions of citizens. As the discussion unfolds, it delves into how Medicaid’s expansion has intertwined with the complexities of private health insurance, revealing a nuanced landscape where many Americans find themselves.
The Origins of Medicaid
The program’s inception traces back to the mid-1960s, when it was designed to provide health coverage for low-income families and individuals. The video addresses the original intentions behind Medicaid, illustrating how social justice and economic necessity propelled its establishment during a time of great societal change. With a goal to reduce healthcare disparities, Medicaid enabled millions to access essential medical services that would otherwise remain out of reach.
Identifying the Gaps
As the video progresses, WSJ breaks down the various gaps within the healthcare system that Medicaid aims to fill. By examining the challenges faced by low-income families and the inadequacies of private health insurance, the video sheds light on why Medicaid has continued to grow. The demand for comprehensive and affordable healthcare solutions has propelled Medicaid to the forefront, creating a system designed to bridge the divide for those most in need.
The Impact of Trump’s Megabill
In a pivotal section of the video, attention shifts to the recent proposals around Trump’s “Big Beautiful Bill.” This new piece of legislation promises to reshape Medicaid, sparking debate about its future and potential implications for millions of beneficiaries. The video presents an analysis of how these changes could alter the program’s framework, potentially affecting its accessibility and funding.
Conclusion
As the industry grapples with evolving regulations and financial pressures, understanding the roots and current trajectory of Medicaid is crucial. WSJ’s examination not only highlights how Medicaid became a necessity for one-fifth of the American population but also invites viewers to consider the future of this vital program amid significant legislative shifts. In a climate where healthcare is more important than ever, the stakes remain high for millions who rely on Medicaid.
Watch the video by The Wall Street Journal
Video “Medicaid Covers 1 out of 5 Americans. How Did It Get So Big? | WSJ” was uploaded on 07/17/2025 to Youtube Channel The Wall Street Journal
A very good example of US MEDICAL CARE SYSTEM DECLINING… AN US CITIZEN MIGHT GET WELL IF HE IS A RICH PERSON… IF NOT… GOD HELPES HIM IN THE CHURCES…
Medicaid’s been patching holes in a broken system for decades—now they’re blaming the patch for the whole boat sinking.
You people vote for this, if you people doesn't impeach or rebels then he will make things worse.
A gigantic growing pile of money for a sliver of population. Peak government efficiency you have here 😅
1 in 5 is still something akin to a third world country from a European perspective. The US is just a cruel egotistical place, hiding behind Christianity.
The American system is titled to keep employees enslaved to healthcare through work and not letting working people get healthy enough to not have to pay for medical bills their entire life.
Because the private health sector is bloated and not worried about health, but profit. If the elites could have as slaves and just bring new ones from somewhere else, they would. They've done it before.
Tax credits for insurance seems wise. More of this please. Maybe also allow salary credits for insurance so that undocumented agriculture workers could also have health insurance.
my baby FDR 💔
Nah, we don't need public healthcare funded by mandatory health insurance, that's socialism – muricans.
Oh no, our healthcare support is bankrupting the nation – also muricans.
The billing practices by hospitals need a radical change and the same goes for Medicaid eligibility requirements. You want government assistance? Pass a drug test, not get arrested, and work 10 hours a week to contribute to society. This ship has too many people and will sink sooner than later!
Well…US billionaires are getting richer each year by many, many billions. Where could the money be coming from? Mhhhhhh….🤔🤔🤔🤔🤔
What's crazy is that Medicare IS socialized healthcare. It consistently has better reviews by its users than the privately insured. We know the answer, Medicare for all.
How old does a person have to be to remember when Americans despised welfare and did everything they could to not be on it? Now it's worth figuring out how many people's income (since money is fungible, then medicaid directly increases a person's income by allowing them to not spend their money) is directly related to government funds instead of private funds. Odds are good the first number is really high (how old), and the second number so high no one there can see the ground anymore (people attached to government money).
Because we have an aging population and an incredible amount of wealth inequality.