Michelle Malkin is incredibly critical of Newt Gingrich's "Transform It, Don't Reform It" in her post, "Gingrich's Bold Medicaid Reform Proposal." However, I cannot entirely agree. Gingrich's proposal would substantially increase the bureaucracy involved in Medicaid, tripling it. But I think that if we are to have a Medicaid, that the goals he outlines are worthwhile. I have faced some of the problems he outlines in Medicaid's treatment of the elderly, he's right, it is anti-family. And that isn't just. He is also correct in pointing out that a one sized fits all approach does not best serve the needs of the elderly, the poor, and the disabled. I'd still argue that the Federal Government has no place in this sort of charitable work, but, as I said, if we are stuck with having a Medicaid, then his sounds at worst more humane than the present.