Over the past five years, federal spending has exploded. In 2019, Washington spent $4.5 trillion (20.9% of GDP). Today, that figure is closer to $7 trillion (23.3% of GDP).

That surge, driven by pandemic emergency spending and entitlement expansions, is projected to persist unless Congress takes action. Yet even the most modest restraint to just one of the major programs driving this deficit, Medicaid, is triggering hysteria on Capitol Hill.

Over the last decade, Medicaid growth has outpaced that of the other two largest federal entitlement programs: Social Security and Medicare.

Including state and federal funding, total Medicaid spending ($873 billion) will exceed national defense this year, and it will only continue to balloon over the coming decade.

Medicaid’s rapid growth can be

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