Medicaid spending in Mass. has nearly quadrupled in the past 20 years. It needs reform.

Josh Archambault is a senior fellow at the Pioneer Institute and the Cicero Institute.. My friend J.D., a 42- year-old who lives in the Boston area, unknowingly sits at the heart of a critical debate in Washington: the future of Medicaid, a health insurance program traditionally for low-income Americans. But its scope has been significantly expanded over the…