Under President Obama's new health care law, Medicaid will become a very different health coverage program than first envisioned.

Originally created to serve the poorest and sickest among us, the Medicaid program has grown dramatically but still doesn't include the kind of flexibility that states need to provide better health care for the poor and disadvantaged.

The national debate on health care once centered on improving access to quality care, yet the effect of Obamacare will be the exact opposite, resulting in the shameful degradation of care for the neediest individuals.

Obamacare is a seriously flawed law that makes health care coverage less affordable, costs taxpayers more than advertised and fails to deliver on most of its other grand promises.

Giving governors more leeway in administering health care could represent a small, positive development in the ongoing saga of Obamacare. Unfortunately, instead of choosing flexibility, President Obama and his left-leaning advisers always default to rigid 'Washington knows best' answers.