I work in healthcare where the majority of the patients are medicaid. A few days a go the first four patients arrived in a BMW X3, Cadillac SRX, Jeep Grand Cherokee, and Ford Expedition. Why do these people not have to sacrifice something to receive benefits? The nearly all have tattoos, fancy nails, smart phones with Bluetooth, game systems, and big TVs. I'd bet they were not wealthy before and spent what limited funds they had on stupid things and had no savings for a tough time.