Yes - add work requirements and make cuts to it. Keep medicare, but medicaid is for people too lazy to work.
One issue that should be addressed is that when a person reaches the threshold for loss of benefits they all go. For instance, let's say the income limit for medicaid is $2901/month (that is what it is in a lot of states). So a person who earned 2900 per month gets 100% of medicaid benefits. If that person gets 2902, they lose ALL of the benefits.
Since the cost of insurance is crazy high (reforms needed there as well), that extra $2 per month means a person loses thousands in benefits. Keep in mind a lot of medicaid recipients are on medicaid because they are disabled and work options are limited to start with.
So instead, reduce the coverage incrementally for a person if they are working. Maybe (some economist needs to do the number crunching) if you earn $1000 per month over the threshold you pay a small premium for the benefits. Earn more and that is reduced. (Barring the employer providing it as a benefit.)
Also, a lot of folks on medicaid are incapable due to their disability from working a lot. The idea they are all lazy is not a lie.
Yes, absolutely. Long overdue. As a lifelong Christian, the love I feel for my fellow man is exponential. However, when it comes to the disabled, the elderly, or poor kids; these are entitled parasites who need to learn that there is no "right" to life (unless you're a fetus). When it comes to the most vulnerable members of society, we need to "trim the fat" so to speak and let nature take its course.
Get rid of Medicaid and deport all the Medicaid recipients to El Salvador. They've agreed to take deportees of any nationality, so we can even send American born poors there.