In this edition of the Heartland Daily Podcast, Research Fellow Sean Parnell sits down with Texas Public Policy Foundation’s John Davidson. Davidson discusses his latest paper, “Medicaid Expansion by Another Name,” which describes the largely unsuccessful efforts of several Republican governors to get even modest reforms of Medicaid in exchange for expanding the program under Obamacare.

Instead of getting real work requirements, minor premium payments, and increased cost sharing for inappropriate use of the emergency room, these governors have settled for cosmetic changes with little real chance of reforming the broken Medicaid system.

Davidson also shares his thoughts on what the starting point needs to be for real medicaid reform, block granting funds to the states and allowing them to innovate and design programs that meet their needs, not those of politicians and bureaucrats in Washington, DC.

More from Heartland Daily Podcast here.