Medicare which is suppose to be for the senior citizens, which they pay a monthly payment for. Medicaid is for the poor which is free, this the program that has increased over the last few years. I understand that this is partly because of people losing there jobs. but the other reason is that there are millions of illegals and there families getting medicaid. The reason is that our goverment workers, who run this program do not do a good job of screening the people who apply. Many illegals us fake ID's Medicaid is the program that needs the most attention. I agree that every state should run the medicaid program because there can do a better job of screening just who is getting it. The state leaders know they will be kicked out if they don't do a good job, they answer more to the people of the state.