I have a big problem with this title being political spin. Medicaid is an entitlement. You cannot tax an entitlement. You can change the rules to reduce the cost of the entitlement, which, if fiscal policy was a zero sum game would equate to a tax CUT. Unfortunately, that's not how it works. Still, this is NOT a tax. I have the same issue when politicians try to repeal a tax cut and claim they are not raising taxes, just repealing a cut. Bullshit.