Medicaid is a state-operated program funded in part by federal funds and in part by state funds. On the basis of your understanding of the statement, answer the following questions:

• Why was Medicaid but not Medicare designed to be state operated?
• Why is Medicaid subject to seemingly constant cutbacks?
• Are these cutbacks due to the relationships between the state and federal governments and the populations being served, or just the rising cost of healthcare in general?