For the fourth year in a row, Gov. Kathy Hochul has used the word “unsustainable” to describe her own Medicaid budget . Give her credit for honesty — but not sound fiscal management. Over the four annual budgets on her watch, the state’s share of Medicaid costs has soared by 60%, or roughly five times inflation. Her latest proposal would add another 10%. With federal aid included, total Medicaid spending in the next fiscal year would be $28 billion higher than when Hochul took over — and that’s

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