Federal changes to Medicaid will mean deep cuts for Pennsylvania’s low-income patients, state welfare secretary says. “This is a year of shared sacrifice. I think most of us have been calling it shared pain.” Estelle Richman Department of Public Welfare secretary PITTSTON TWP. – Medicaid’s glory days are over. So if you’re a Medicaid patient, brace yourself for the pain – both to your body and to your wallet. That was the message Friday from state Department of Public Welfare Secretary Estelle Richman, who painted a grim picture of Pennsylvania’s proposed 2005-06 welfare budget during a public forum at the...