The 1/2 or more of your 60 million recipients who are now getting it free. They are getting a free ride thanks to overly zealous bureaucrats trying to grow their industry.
The reason provider costs are rising so much is because of all the government mandated "free health care" being passed along to the paying customers.
That's why "cost shifting" (just another form of theft) needs to be illegal.
And how are the other half getting Medicaid? Paying for it?