Bill Clinton famously promised to “end welfare as we know it;” Joe Biden inexplicably claimed to have “finally beat Medicare.” But unfortunately, neither of them reformed what is now America’s largest welfare program, leaving President Donald J. Trump with a colossal mess.

America now faces a dependency epidemic far worse than the ‘90s crisis that spurred bipartisan reform. “Welfare as we know it” is now an endless, universal-style Medicaid program that prioritizes those who are capable of working over those who have nowhere else to turn.

While enrollment has started to taper off, the program has recently hit record levels, approaching nearly 100 million in recent years. As of today, approximately 1 in 4 Americans are Medicaid dependent, making Medicaid twice the size of the food stamps program.

At the end of 2022, able-bodied adults made up 44 percent of the program–nearly half!

Clearly, this is not your grandmother’s Medicaid program.

The primary culprit is the so-called “Affordable Care Act,” or what most Americans call Obamacare. As part of their march towards universal health care, its architects abandoned any pretense of reserving Medicaid for the needy and blew the........

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