Within the U.S. the Obama presidency will be mainly measured by the success or failure of his economic policies. And here I fear the monstrous stimulus package with which this administration stumbled out of the gate will prove to be Obama's Waterloo.
Originally created to serve the poorest and sickest among us the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.
