This new plan does not improve health care for most poor families or those who can't afford insurance - they will not be able to afford this version - some because they must care for others and can't work a job (one of the new requirements and expectations for Medicaid) or they simply cannot get enough part-time work to afford this new plan , or they can't afford to use the tax credit for health insurance because they will use it to buy food for their children. Why is it so important to punish the poor for being poor in this country instead of helping the poor?