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Want to reform Medicaid? Accountability is the way forward

July 31, 2026July 30, 2026

Government works best when its rules reward responsibility rather than dependency

by Newt Gingrich

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Thirty years ago this summer, Congress passed the Personal Responsibility and Work Opportunity Reconciliation Act. Welfare reform succeeded because it recognized a simple but powerful truth: public programs work best when they reward responsibility, accountability and innovation.

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