Best thing to do is cancel Medicaid ENTIRELY.
Let people figure out in advance how they will pay for a child -- before they get the process started.
That's the answer.
Saying "It takes two to make a baby" isn't realistic, only the woman has control over her fertility. If she is unmarried and wants a baby she should plan to pay for it, unless the man is committed to sharing the responsibility.
If she and any family that she has cannot or will not support he baby, she can seek private charity, but should have no right or expectations that the taxpayer is going to be responsible to give her an income, an apartment, furnishings, clothing, food, a color TV, health care, etc. If the child is being deprived of the bare necessities of life, then the state may have to place the child elsewhere. It would not take long for young women to make much more responsible decisions.
Prior to Gomez v. Perez (1973), this was the common law and the wise social policy of all fifty states.
Like Roe v. Wade, this revolutionary Supreme Court decision upended millenia of law formation, and, more than any other act of the period 1965-1973 ended marriage as we had come to know it.
In marriage prior to 1973, a woman promised a man that all children born to her during their marriage would be his, and the man promised her and the community that, this being so, that he would therefore support her and those children.
By making a single act of sexual intercourse equal to the marriage bond (for a man), the Supremes radically devalued the act of marriage.
"Best thing to do is cancel Medicaid ENTIRELY.
Let people figure out in advance how they will pay for a child -- before they get the process started."
Brutally honest and entirely correct. You win the cigar. It's called personal responsibility.