is that the demand goes up when the resources go down. when you have a recession, more people eligible for the program. we saw eligibility soar by 8% last year, as people were unemployed or lost employer-provided coverage. at the same time, states are squeezed in revenue, plus the third factor of growing medical costs which for decades have grown faster than inflation. there is a tremendous squeeze on the states and the likelihood we're going to see cuts in programs in a variety of states. c andrew cuomo governs the bluest of blue states. >> so when we talk about the health care reform, though, calling for the huge expansion of medicaid eligibility, could yap up to 16 million people, roughly, to the rolls. are states cutting in anticipation of costs that they have to face down the road? it's coming. >> well, interestingly, first of all, in the initial cost of expansion is paid for entirely by, if not entirely, by the