The Medicaid program, which provides critical health coverage to nearly 79 million Americans, faces significant changes under proposals championed by Donald Trump as part of his political return. Trump’s team is focusing on reducing the program’s $900-billion annual expenditure through strategies that could fundamentally alter healthcare access across the United States. These plans, while potentially controlling federal spending, pose risks for low-income families, individuals with disabilities, and other vulnerable groups. The Gravy Train is over