Paul Ryan’s most important legacy is Trump’s war on Medicaid

Paul Ryan dreamed of cutting Medicaid. Donald Trump is going to do it.

Paul Ryan once famously said that he had dreamed about overhauling Medicaid since he was “drinking out of a keg.” But with the news that the House speaker would retire at the end of this year, it appears Ryan will leave Congress without achieving his lifelong ambition.

At least not directly. But if you look at the steps the Trump administration is taking to dramatically shrink Medicaid — the nation’s largest...

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