Why was Medicaid but not Medicare designed to be state operated?

Why was Medicaid but not Medicare designed to be state operated?
Medicaid is a state-operated program funded in part by federal funds and in part by state funds. On the basis of your understanding of the statement, answer the following questions (present your answers in the context of Medicaid payment and reimbursement policies): Why was Medicaid but not Medicare designed to be state operated? What factors prove that Medicaid program is being operated by the state? Conduct an analysis of the Medicaid program of your state and another state from a different region of the country. What are the main similarities and differences between the two programs? Are there enough differences to prove that the state and not the federal government operate Medicaid? Discuss. As a government program, Medicaid has recently been subject to cuts and last minute increases in funding.

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