More than 67 million people throughout the United States rely on Medicaid for their healthcare. Medicaid is a federal program that is implemented by the states for low-income residents. However, the state the recipient lives in could have a big impact on their political participation, especially if the language surrounding Medicaid from lawmakers is particularly fraught. We speak with Jamila Michener from Cornell University about her latest book on this issue, Fragmented Democracy: Medicaid, Federalism, and Unequal Politics.