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Medicaid and Medicare, two huge social safety net programs that continue in America to this day, were created by LBJ in 1965 during his War on Poverty. Over its history in the last six decades, Medicaid has evolved from a program that provided health care to welfare recipients to a broader catch-all program that provides both health care and long-term services to around 40 million people (more than 10% of Americans) at a cost of almost $200 billion to the federal and state governments