After stopping a much needed expansion of the Medicaid Program, a group of Ohio legislators have recently introduced a new concept of "Medicaid Reform." It involves time limits, work requirements and other elements intended to inspire more "personal responsibility" and prevent the dreaded "dependency." This sounds amazingly like the much-praised and highly popular bipartisan "Welfare Reform" of the mid-90s. This appeals to a broad segment of the population who want to believe that all poverty and apparently ill health is caused by a failure of character. This philosophy is given considerable support by some conservative think tanks.