cur-mud-geon: anyone who hates hypocrisy and pretense and has the temerity to say so; anyone with the habit of pointing out unpleasant facts in an engaging and humorous manner
When most of us think of Medicaid we think of the federally-funded program that helps people who are in need. It started that way, but it has morphed over time, as do many government programs. In the world today, Medicaid permits states to 'experiment' using a combination of federal dollars and state dollars. In the world today, Medicaid doesn't necessarily mean that the people using the programs are "in need", as we would've defined the term years ago.
What is all around us? The constant drumbeat of how bad things are and how long this will last is all around us. We find it difficult to turn on a radio or television newscast without hearing anew just how bad everything is getting to be. Newspapers are full of the bad news. Electronic media of all ilks are full of bad news.