I don’t think they eventually want to do away with Medicare and Medicaid. But I think if you make 400x the poverty line or $47000 for a single person, 97,000 for a family of 4 you shouldn’t be included in “those who need Medicaid”. Some states- those with high cost of living-have expanded Medicaid. Other states with low COL-like Southern states-have not. It only makes sense why. What’s “poor” in one place is not in others.
Other reasons people do not get health insurance-young, healthy, don’t want to spend their money on it when they could go to a free clinic, illegal immigrant…