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His efforts were hugely successful, which, of course, got the attention of other governors and even Congress and the Clinton administration. Congress passed a national version of welfare reform in 1996.Thompson changed the welfare paradigm. He said welfare should not be the norm; work should. So what does this mean for Medicaid? For 40 years, Medicaid has played a pivotal role in providing assistance to millions of low-income people who needed health coverage. But it was meant to be a safety net for the poor. Somehow, the Medicaid-is-welfare connection has been lost. One lesson from welfare reform was that welfare had to "cost" something -- in most cases, work...
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