Solution to Medicaid?

WaPo ran an opinion piece by Robert Samuelson states that Medicaid is out of control, but there is a way to respond.  This is a compelling argument to streamlining costs and putting the right government agencies in charge of the right spending. Disabled and elderly long term care would got to Medicare and the federal government while impoverished aid and medical coverage would go to states to respond to their poverty needs. It would control some of the oversight issues and make the system more responsive. Government doesn't need to be cut, but rather changed.