"Well, there are about 10 million children that aren't covered by health insurance. About 3 million qualify for Medicaid but don't get it, so we're going to reach out and bring more of those kids into the Medicaid program"
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Numbers do double duty here: they sound clinical, but they’re meant to sting. Franklin Raines opens with “10 million children” not to invite debate about budgets, but to establish a moral baseline that’s hard to argue with. Children are the rhetorical cheat code of public policy; once you frame the problem around kids, the political room for “personal responsibility” speeches shrinks fast.
Then comes the pivot: “About 3 million qualify for Medicaid but don’t get it.” That line quietly relocates blame away from families and toward systems. If they qualify, the problem isn’t need or deservingness; it’s friction - paperwork, stigma, lack of information, bureaucratic drop-offs. Raines is pointing at a specific kind of failure that modern governance is prone to: not the absence of programs, but the inability to convert eligibility into real coverage.
The phrase “reach out” is doing PR work. It suggests active government (or a government-adjacent institution) that doesn’t just wait for the poor to navigate a maze; it goes looking. “Bring more of those kids into the Medicaid program” casts enrollment like inclusion, not dependency - a subtle but important reframing in an era when Medicaid was often treated as a political punching bag.
As a businessman, Raines also signals managerial competence: identify the addressable subset (3 million), then execute an outreach strategy. It’s policy as operations. The subtext is: we can make progress without reinventing the system or winning an ideological war - just by making the existing safety net actually catch the people it was built for.
Then comes the pivot: “About 3 million qualify for Medicaid but don’t get it.” That line quietly relocates blame away from families and toward systems. If they qualify, the problem isn’t need or deservingness; it’s friction - paperwork, stigma, lack of information, bureaucratic drop-offs. Raines is pointing at a specific kind of failure that modern governance is prone to: not the absence of programs, but the inability to convert eligibility into real coverage.
The phrase “reach out” is doing PR work. It suggests active government (or a government-adjacent institution) that doesn’t just wait for the poor to navigate a maze; it goes looking. “Bring more of those kids into the Medicaid program” casts enrollment like inclusion, not dependency - a subtle but important reframing in an era when Medicaid was often treated as a political punching bag.
As a businessman, Raines also signals managerial competence: identify the addressable subset (3 million), then execute an outreach strategy. It’s policy as operations. The subtext is: we can make progress without reinventing the system or winning an ideological war - just by making the existing safety net actually catch the people it was built for.
Quote Details
| Topic | Health |
|---|---|
| Source | Help us find the source |
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