ouch. hard to say which is worse. letting so many people stay on medicare, or using smoking as a reason to kick them off.
Ironically, I think that a copay is a GOOD way to help medicaid costs, regardless of the smoking status. Even $5 per visit. It might make some of the freeloaders think twice before rushing to the doctor every time they have the sniffles. They would have to decide whether to go to the doc, or buy that pack of smokes or six-pack.