Medicaid is for folks who NEVER paid into the system.  Aside from the legitimately disabled (not those who swelled disability rolls when unemployment insurance ran out) these people should be responsible for a co-pay and mandated carry some form of catastrophic care insurance.  

Workers,  forced to pay for the Medicare Ponzi-scheme, at least PAID and earned their coverage.  Time for non-profits and churches to fulfill their mandate and help out with the Medicaid-eligible.  

As long as NOTHING is done to reduce medical costs (this bill and Obama Care don't) tough decisions need to be made.