And this may surprise you but I agree with Medicaid and "a good thing in the end and worth any support we can give it."

My opposition is this: enrolling people with high enough incomes they should (now that we are past the Great Recession) buy their own insurance. Or not, but then pay cash at the time of services like with any other business. 

Second, limit what services are provided via tax dollars. Health care that is medically necessary, oh yes, cover it. Things that are 'elective'- absolutely not. 

Those two things alone would make Medicaid financially stable.