Professor David Orentlicher considers the significance of the passage of the Affordable Care Act on the Medicaid program. He discusses the expansion of the program's recipients from merely children, pregnant women, single caretakers of children, and disabled persons to all persons up to 138% of the federal poverty level. Professor Orentlicher argues that the Medicaid expansion reflects concerns about the high costs of health care rather than an evolution in societal thinking about the "deserving" poor. As a result, the expansion may not provide a stable source of health care coverage for the expansion population.
15 Yale J. Health Pol’y, L., & Ethics 185 (2015).
Orentlicher, David, "Medicaid at 50: No longer Limited to the "Deserving" Poor?" (2015). Scholarly Works. 1039.