Originally created to serve the poorest and sickest among us, the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.

I know the exploding cost of health care is at the root of our long-term fiscal challenges.

The national debate on health care once centered on improving access to quality care, yet the effect of Obamacare will be the exact opposite, resulting in the shameful degradation of care for the neediest individuals.

Giving governors more leeway in administering health care could represent a small, positive development in the ongoing saga of Obamacare. Unfortunately, instead of choosing flexibility, President Obama and his left-leaning advisers always default to rigid 'Washington knows best' answers.

We need more access to quality health care, not less.

Congress mandated that health care providers in emergency departments and ambulances provide emergency care to anyone in need, including the uninsured and underinsured.