I think it is a bad idea when Congress cedes its lawmaking role to the Washington bureaucracy. This article by Morningstar looks at proposed changes to Medicare which could substantially alter the way health care services are delivered to seniors, and paid for by the government. Regardless of whether you think the proposals are good ones or not, it seems that something this important to so many people shouldn't be implemented without debate, transparency, and accountability. Clearly Medicaid needs some work to become financially sustainable...but I'm not so sure this is the way to fix it.
https://www.morningstar.com/articles/1088562/big-changes-may-be-coming-to-traditional-medicare