Medicaid has some serious problems that are not addressed in the act. One of the main problems is the number of doctors that will no longer take Medicaid (not Medicare) patients. This is generally the result of lots of paperwork and smaller payments to the doctor.

It would have been an amazingly smart start to health care to really focus on the Medicaid patients. Encourage more urgent care centers and fix the payments / paperwork.

Instead, Medicaid is going to get more painful.