Mike Enzi

Medicaid mission creep threatens GOP's 'Obamacare' repeal

Somewhere along the way, the Republican crusade to repeal "Obamacare" also turned into an effort to limit the future growth of Medicaid. That bit of mission creep is complicating prospects for the GOP, and could lead to deadlock.

The federal-state program for low-income people has long been stigmatized as substandard. But over time it has grown and changed to become a mainstay for hospitals, nursing homes, insurers, and now drug treatment centers confronting the opioid epidemic. With about 70 million enrolled, Medicaid covers more people than Medicare, from newborns to nursing home residents.

Republicans including Sens. Susan Collins of Maine, Dean Heller of...

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