With counties across the state begging for relief from the burden of financing Medicaid and the state budget itself absorbing hundreds of millions of dollars in higher Medicaid costs just in the past couple of years, it would seem that North Carolina should be leading the way in pursuing fundamental changes in the program. State policymakers have adopted a few reforms, welcome ones, but none has represented the kind of structural adjustment that will generating big and lasting savings.
The term "bully pulpit" stems from President Theodore Roosevelt's reference to the White House as a "bully pulpit," meaning a terrific platform from which to persuasively advocate an agenda. Roosevelt often used the word "bully" as an adjective meaning superb/wonderful. The Bully Pulpit features news, reasoned discourse, opinion and some humor.