It starts.

We're already facing a doctor shortage, thanks to mandatory Medicaid.

You see, when people have to pay out of their own pockets, whether it's the full amount or a co-pay with insurance, they think twice: "Do I really need to take a virus to the doctor? Do I really need a prescription for that poison ivy, or will Calamine or Benedryl cream work for less?"

If it's a "right," and it's "free," people will be in and out of the doctors' offices for freakin' aspirin for a headache.

In fact, had mandatory Medicaid benefits gone into effect right away, it would already be happening.