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The Medicaid entitlement was established in 1965 as part of President Johnson’s Great Society. It was originally designed as a safety-net program to provide health insurance for low-income families with children, for the disabled and for some long-term care. Enrollment and costs exploded and by 2010 it was one of the top three budget items for every state. It has been the number two budget item behind K-12 education for Washington state.
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