A close inspection of approved and pending state waiver programs suggests that the expansion of Medicaid provides a new means of social control over the poor and uninsured. Changes in the structure and financing of state Medicaid programs, like work requirements and time limits on eligibility, limit the appeal of publicly funded medical insurance. In addition, the social construction of the target population legitimizes the imposition of restrictive health care arrangements for poor women that would be politically indefensible if applied to the general population or to "deserving" subgroups with the population (e.g., retirees).
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