Kentucky State Auditor Allison Ball recently uncovered more than $800 million in waste inside the state’s Medicaid program. Medicaid is supposed to provide health care to the poor and vulnerable, but when oversight fails, those most in need are the ones who suffer. And taxpayers pick up the tab. They also lose confidence in a system that seems unable to protect their hard-earned dollars. Government should be a faithful steward of public resources, and do all it can to cut waste and careless spending. This report should spark serious reforms—stronger accountability, tighter safeguards, and real consequences for waste—in this case nearly a billion dollars. Kentuckians deserve assurance that every dollar invested in health care actually goes to help people, not to bureaucratic waste.