Medicaid could save some insane money if people had to pay some deductible or copay.
I can't tell you how many Medicaid patients come through our clinic and will milk it for every drop. Our clinic likes it because its easy money and you don't need to take any payments(although payouts suck).
Meanwhile BCBS patients are hyper sensitive since they pay until they hit their max out of pocket. We work with them to get their visits down from ~16 visits to, 4-6. They can do a lot of the work at home, so they are motivated to do it without the $125/hr fee.
But medicaid patients would much rather have a doctor watch them, give them instruction, and do some hands on work. Its free, why not?
There is a huge disparity in treatment between the lower class and middle to upper class. At the end of the day, it seems everyone gets better. The payouts are the same ~16 visits * 40$ vs 4 visits at $125.