--- title: "Meaning & Key Takeaway of: We believe we can dramatically improve…" description: "\"We believe we can dramatically improve the way Medicaid works by giving governors more control and flexibility to innovate to make it work for people w..." image: "https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg" --- # We believe we can dramatically improve the way Medicaid… ![“We believe we can dramatically improve the way Medicaid works by giving governors more control and flexibility to innovate to make it work for people with low income because it's not working in so many states right now.” quote by Paul Ryan](https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg) [Download](https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg) [Open image](https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg) > “We believe we can dramatically improve the way Medicaid works by giving governors more control and flexibility to innovate to make it work for people with low income because it's not working in so many states right now.” [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) ## About This Quote This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation. The speaker argues that Medicaid reform requires state-level autonomy to tailor solutions for low‑income populations, as current federal policies are ineffective in many states. **In simple terms:** State control can fix Medicaid failures. Key Takeaway Empower states to innovate Medicaid. Themes healthcare reform federalism poverty alleviation Mood concerned optimistic Type policy advocacy When to use this quote - state health departments - legislative committees - budget planning - community health programs Key Concepts decentralization policy innovation public welfare Questions to Reflect On - How can states ensure equity while innovating? - What safeguards prevent reduced benefits? A Different Perspective State autonomy may lead to uneven quality and gaps in coverage. ★ ★ ★ ★ ★ No ratings yet [Believe](https://sms4smile.com/quotes/about/believe/) [Flexibility](https://sms4smile.com/quotes/about/flexibility/) [Giving](https://sms4smile.com/quotes/about/giving/) [Giving Governors](https://sms4smile.com/quotes/about/giving-governors-2323017/) [Governors](https://sms4smile.com/quotes/about/governors/) [Governors Control](https://sms4smile.com/quotes/about/governors-control-5141718/) [Health](https://sms4smile.com/quotes/about/health/) [Income](https://sms4smile.com/quotes/about/income/) [Low income](https://sms4smile.com/quotes/about/low-income/) [Lows](https://sms4smile.com/quotes/about/lows/) [Medicaid](https://sms4smile.com/quotes/about/medicaid/) [Medicaid Works](https://sms4smile.com/quotes/about/medicaid-works-5141717/) [People](https://sms4smile.com/quotes/about/people/) [Right now](https://sms4smile.com/quotes/about/right-now/) [States](https://sms4smile.com/quotes/about/states/) [Way](https://sms4smile.com/quotes/about/way/) [Way Medicaid](https://sms4smile.com/quotes/about/way-medicaid-5141719/) ## Related quotes > [Mike Pence and Mitch Daniels in Indiana, the woman who's coming in to run the Medicaid program at the federal level, her name is…](https://sms4smile.com/quotes/paul-ryan/mike-pence-and-mitch-daniels-in-indiana-the-woman-who-s-coming-in-to/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Giving governors more leeway in administering health care could represent a small, positive development in the ongoing saga of Obamacare. Unfortunately, instead of choosing…](https://sms4smile.com/quotes/fred-upton/giving-governors-more-leeway-in-administering-health-care-could/) [Fred Upton](https://sms4smile.com/quotes/author/fred-upton/) > [We cannot afford to lose the Medicaid funding for low-income women.](https://sms4smile.com/quotes/kay-bailey-hutchison/we-cannot-afford-to-lose-the-medicaid-funding-for-low-income-women/) [Kay Bailey Hutchison](https://sms4smile.com/quotes/author/kay-bailey-hutchison/) > [If you're a person that has low income, you probably should have more assistance than a person with high income.](https://sms4smile.com/quotes/paul-ryan/if-you-re-a-person-that-has-low-income-you-probably-should-have-more/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [We're not going to end the Medicaid. We're going to give the governors more control and leeway to bring innovative reforms to make Medicaid…](https://sms4smile.com/quotes/paul-ryan/we-re-not-going-to-end-the-medicaid-we-re-going-to-give-the-governors/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [My state, Scott Walker, our governors, reformed Medicaid so it actually works, so that the doctors will take the program.](https://sms4smile.com/quotes/paul-ryan/my-state-scott-walker-our-governors-reformed-medicaid-so-it-actually/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Me, coming from a low-income background, I really didn't take my studies serious as a young kid.](https://sms4smile.com/quotes/ha-ha-clinton-dix/me-coming-from-a-low-income-background-i-really-didn-t-take-my/) [Ha Ha Clinton-Dix](https://sms4smile.com/quotes/author/ha-ha-clinton-dix/) > [Many low-income people in the U.S.A. charged with a crime opt to plead guilty to a lesser offence because they cannot afford to go…](https://sms4smile.com/quotes/guy-standing/many-low-income-people-in-the-u-s-a-charged-with-a-crime-opt-to-plead/) [Guy Standing](https://sms4smile.com/quotes/author/guy-standing/) > [I grew up in low-income areas and I've seen people take negative energy and just accept it. They give into and end up living…](https://sms4smile.com/quotes/lamarcus-aldridge/i-grew-up-in-low-income-areas-and-i-ve-seen-people-take-negative/) [LaMarcus Aldridge](https://sms4smile.com/quotes/author/lamarcus-aldridge/) > [I would guess that there's adequate low-income housing in the country.](https://sms4smile.com/quotes/dan-quayle/i-would-guess-that-there-s-adequate-low-income-housing-in-the-country/) [Dan Quayle](https://sms4smile.com/quotes/author/dan-quayle/) > [Whether you are a low-income elderly woman living at the end of a dirt road in Vermont or a wealthy CEO living on Park…](https://sms4smile.com/quotes/bernie-sanders/whether-you-are-a-low-income-elderly-woman-living-at-the-end-of-a/) [Bernie Sanders](https://sms4smile.com/quotes/author/bernie-sanders/) > [The chief problem of the low-income farmers is poverty.](https://sms4smile.com/quotes/nelson-rockefeller/the-chief-problem-of-the-low-income-farmers-is-poverty/) [Nelson Rockefeller](https://sms4smile.com/quotes/author/nelson-rockefeller/) > [Low income persons in need of social housing should be housed in more prosperous areas to avoid placing an extra burden on the poorer…](https://sms4smile.com/quotes/najat-vallaud-belkacem/low-income-persons-in-need-of-social-housing-should-be-housed-in-more/) [Najat Vallaud-Belkacem](https://sms4smile.com/quotes/author/najat-vallaud-belkacem/) > [I'm going to insist that we've got decent funding, enough teachers, and computers in the classroom, but unless you turn off the television set…](https://sms4smile.com/quotes/barack-obama/i-m-going-to-insist-that-we-ve-got-decent-funding-enough-teachers-and/) [Barack Obama](https://sms4smile.com/quotes/author/barack-obama/) > [ It was a very economically depressed time \[the 80s\] and because of that, there was a lot of space. Everything was relatively dilapidated, and… ](https://sms4smile.com/quotes/kiki-smith/it-was-a-very-economically-depressed-time-the-80s-and-because-of-that/) [Kiki Smith](https://sms4smile.com/quotes/author/kiki-smith/) ## More by Paul Ryan > [When we're done simplifying the tax code, getting the lobbyist carve outs our of the tax code, lowering our rates and letting people have…](https://sms4smile.com/quotes/paul-ryan/when-we-re-done-simplifying-the-tax-code-getting-the-lobbyist-carve/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Grow jobs. Get this economy growing. Raise wages. Simplify the tax system, so it's easy to comply with.](https://sms4smile.com/quotes/paul-ryan/grow-jobs-get-this-economy-growing-raise-wages-simplify-the-tax/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [The tax code is 10 times the size of the Bible with none of the good news.](https://sms4smile.com/quotes/paul-ryan/the-tax-code-is-10-times-the-size-of-the-bible-with-none-of-the-good/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [We want American families to feel more confident in life. We want the next generation to know that yes, the best days of this…](https://sms4smile.com/quotes/paul-ryan/we-want-american-families-to-feel-more-confident-in-life-we-want-the/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Donald Trump is a pretty casual guy. He calls me Paul.](https://sms4smile.com/quotes/paul-ryan/donald-trump-is-a-pretty-casual-guy-he-calls-me-paul/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [ What \[President Donald Trump\] is doing is taking away the executive overreach that President \[Barack\] Obama did which we thought exceeded his powers. ](https://sms4smile.com/quotes/paul-ryan/what-president-donald-trump-is-doing-is-taking-away-the-executive/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [My dad died when I was young. He was a good and decent man. There are a few things he would say that have…](https://sms4smile.com/quotes/paul-ryan/my-dad-died-when-i-was-young-he-was-a-good-and-decent-man-there-are-a/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Millions of young Americans have graduated from college during the Obama presidency, ready to use their gifts and get moving in life. Half of…](https://sms4smile.com/quotes/paul-ryan/millions-of-young-americans-have-graduated-from-college-during-the/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [When you take a look at the problems our country is facing, debt is No. 1. The math is downright scary and the credit…](https://sms4smile.com/quotes/paul-ryan/when-you-take-a-look-at-the-problems-our-country-is-facing-debt-is-no/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [What I'm concerned about is endless borrowing, which is going to compromise our economy not only today but in the future. Because we know…](https://sms4smile.com/quotes/paul-ryan/what-i-m-concerned-about-is-endless-borrowing-which-is-going-to/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [We believe, as our founders did, that 'the pursuit of happiness' depends upon individual liberty; and individual liberty requires limited government.](https://sms4smile.com/quotes/paul-ryan/we-believe-as-our-founders-did-that-the-pursuit-of-happiness-depends/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [If you’re going to criticize, you should propose,](https://sms4smile.com/quotes/paul-ryan/if-you-re-going-to-criticize-you-should-propose/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [I call crony capitalism, where you take money from successful small businesses, spend it in Washington on favored industries, on favored individuals, picking winners…](https://sms4smile.com/quotes/paul-ryan/i-call-crony-capitalism-where-you-take-money-from-successful-small/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Conventional wisdom on government's role in inequality often has it backwards. Tax reforms have resulted in a more progressive federal income tax; government transfer…](https://sms4smile.com/quotes/paul-ryan/conventional-wisdom-on-government-s-role-in-inequality-often-has-it/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) > [Let the Democrates go on making its case for more government control over every aspect of our lives. More taxes to pay. More debt…](https://sms4smile.com/quotes/paul-ryan/let-the-democrates-go-on-making-its-case-for-more-government-control/) [Paul Ryan](https://sms4smile.com/quotes/author/paul-ryan/) [Explore all 345 Paul Ryan quotes ](https://sms4smile.com/quotes/author/paul-ryan/) ## More Believe quotes > [I actually think acting is a form of self-hypnosis. You have to be hyper, hyper aware of what's going on around you. 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He's going…](https://sms4smile.com/quotes/joel-osteen/resist-discouragement-by-speaking-his-word-over-your-future-keep/) [Joel Osteen](https://sms4smile.com/quotes/author/joel-osteen/) > [I can't believe that I'm sitting in meetings with Steven Spielberg, Tom Hanks, and Annette Bening. I want to take on that responsibility to…](https://sms4smile.com/quotes/roger-ross-williams/i-can-t-believe-that-i-m-sitting-in-meetings-with-steven-spielberg/) [Roger Ross Williams](https://sms4smile.com/quotes/author/roger-ross-williams/) > [There is no such word as item girl in the dictionary. People have created this word and I don't believe that I am an…](https://sms4smile.com/quotes/shefali-zariwala/there-is-no-such-word-as-item-girl-in-the-dictionary-people-have/) [Shefali Zariwala](https://sms4smile.com/quotes/author/shefali-zariwala/) > [I understand that it's the music that keeps me alive... That's my lifeblood. And to give that up for, like, the TV, the cars,…](https://sms4smile.com/quotes/bruce-springsteen/i-understand-that-it-s-the-music-that-keeps-me-alive-that-s-my/) [Bruce Springsteen](https://sms4smile.com/quotes/author/bruce-springsteen/) > [I don't really like too much credit. I know nobody's going to believe this, but I'd rather be able to score goals and nobody…](https://sms4smile.com/quotes/bradley-wright-phillips/i-don-t-really-like-too-much-credit-i-know-nobody-s-going-to-believe/) [Bradley Wright-Phillips](https://sms4smile.com/quotes/author/bradley-wright-phillips/) > [“What I have a problem with is not so much religion or god, but faith. When you say you believe something in your heart…](https://sms4smile.com/quotes/penn-jillette/what-i-have-a-problem-with-is-not-so-much-religion-or-god-but-faith/) [Penn Jillette](https://sms4smile.com/quotes/author/penn-jillette/) > [Bush reiterated his stand to conservatives opposing his decision on stem cell research. 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Garfield](https://sms4smile.com/quotes/author/james-a-garfield/) > [We instantly believe everything we think. Isn't that insane? It's good for us to explore the depravity of our minds, so we know we…](https://sms4smile.com/quotes/krishna-das/we-instantly-believe-everything-we-think-isn-t-that-insane-it-s-good/) [Krishna Das](https://sms4smile.com/quotes/author/krishna-das/) [Browse all 47,704 Believe quotes ](https://sms4smile.com/quotes/about/believe/) ```json { "@context": "https://schema.org", "@graph": [ { "@type": "Quotation", "text": "We believe we can dramatically improve the way Medicaid works by giving governors more control and flexibility to innovate to make it work for people with low income because it's not working in so many states right now.", "creator": { "@type": "Person", "name": "Paul Ryan" }, "isPartOf": { "@id": "https://sms4smile.com/quotes/#website" }, "url": "https://sms4smile.com/quotes/paul-ryan/we-believe-we-can-dramatically-improve-the-way-medicaid-works-by/", "about": { "@type": "Thing", "name": "Believe" }, "@id": "https://sms4smile.com/quotes/paul-ryan/we-believe-we-can-dramatically-improve-the-way-medicaid-works-by/#quotation", "image": { "@type": "ImageObject", "@id": "https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg", "contentUrl": "https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg", "url": "https://sms4smile.com/quotes/i/652/paul-ryan-869_believe_we-believe-we-can-dramatically-improve-t_2251070.jpg", "width": 1080, "height": 1080, "caption": "“We believe we can dramatically improve the way Medicaid works by giving governors more control and…” — Paul Ryan", "creditText": "SMS4Smile Quotes", "creator": { "@id": "https://sms4smile.com/quotes/#organization" } } }, { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://sms4smile.com/" }, { "@type": "ListItem", "position": 2, "name": "Quotes", "item": "https://sms4smile.com/quotes/" }, { "@type": "ListItem", "position": 3, "name": "Paul Ryan", "item": "https://sms4smile.com/quotes/author/paul-ryan/" }, { "@type": "ListItem", "position": 4, "name": "We believe we can dramatically improve...", "item": "https://sms4smile.com/quotes/paul-ryan/we-believe-we-can-dramatically-improve-the-way-medicaid-works-by/" } ], "@id": "https://sms4smile.com/quotes/paul-ryan/we-believe-we-can-dramatically-improve-the-way-medicaid-works-by/#breadcrumb" }, { "@type": "WebSite", "@id": "https://sms4smile.com/quotes/#website", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "publisher": { "@id": "https://sms4smile.com/quotes/#organization" } }, { "@type": "Organization", "@id": "https://sms4smile.com/quotes/#organization", "name": "SMS4Smile Quotes", "url": "https://sms4smile.com/quotes/", "logo": { "@type": "ImageObject", "url": "https://sms4smile.com/quotes/wp-content/themes/sq/assets/icons/icon-512.png", "width": 512, "height": 512 } } ] } ```