Medicaid began as a welfare program, but 60 years later it covers one in five Americans and costs more than $800 billion. But Trump’s “Big Beautiful Bill” is changing the health insurance program. WSJ explores how Medicaid got so big and how the GOP megabill will change it. Chapters: 0:00 How big is Medicaid? 0:32 Private health insurance 1:16 Why Medicaid was started 3:02 Breaking down the gaps 4:00 Trump’s megabill changes News Explainers Some days the high-speed news cycle can bring more questions than answers. WSJ’s news explainers break down the day's biggest stories into bite-size pieces to help you make sense of the news. #Medicaid #Trump #WSJ