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Medicaid is not a “workfare” program. It’s our nation’s primary method of covering health care for low-income Americans.

Seema Verma, President Donald Trump’s nominee for Administrator of the Centers for Medicare and Medicaid Services, wants to change that. Although her nomination hasn’t garnered much press to date, it deserves more attention. Verma’s lack of experience with Medicare and with running a large agency are bad enough. But the harmful effect her policies could have on state Medicaid programs and their beneficiaries, in conjunction with likely congressional actions, is even worse.

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