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The Medicaid program was designed for aged or blind or people living with disabilities, pregnant women and children, but now that we've put all these able-bodied individuals (on Medicaid), the program needs to be changed to be more flexible. People that are living in poverty want a pathway out of poverty. They don't want to be in that situation. And so what we're trying to do with the Medicaid program, with allowing states to develop programs that give people an opportunity for job training, for community service … and giving them the skills that they need.

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