W.Va Medicaid: benefits or bust

How's this for a twist to the West Virginia Medicaid program? Recipients get better benefits--mental health counseling, for example--if they promise to, say, join a "stop smoking" program. Or a cardiac patient could go to rehab if he or she joins a weight-loss program after signing a pledge "to do my best to stay healthy." The perpetrators of this New Wave medical care program are tossing in platitudes about "patient responsibility." Er, shouldn't a cardiac patient get rehab anyway? Read more about this at the New York Times whose report is based on an editorial in The New England Journal of Medicine.