Go for it dude:
Texas Gov. Rick Perry
I’d like to see states be given the opportunity to opt-out of the Medicaid program that we are looking at today. We think in Texas over the next six years that we could take and find a private insurance solution and better serve our people, put more people under coverage, and save $40 billion for the state of Texas and $40 billion for the federal government because it is a matching program.
Seriously. Do it and let's see if you get better health care for your money.