The government hasn't made poverty worse. The government has kept poverty from being even worse than it would be had there been no government help for the poor.
One need only look around the world at the places where the poor get little or no help from the government to prove that.
"All around the world" is not the United States of America. We had poverty in this country before the war on poverty, and we have poverty in this country today. The $22 trillion spent has had little impact on the number of people in poverty, but it has been very successful in drawing a large sector of the American people into government dependency, and that was the purpose of the war on poverty from the outset.
People dependent upon government will vote for the party that offers them more from government. Who would have thunk it?
Why would there be fewer poor people if Medicaid had never happened? What would have made all the poor people who have benefited from Medicaid better off if they had never had that benefit?
How would they be richer today?
You want to start a different debate, or do you just wish to pretend that Medicaid has somehow reduced the poverty rate? The answer is what do I get, and what does it cost me to get it.
If I was working 30 hours a week and making $210 each week, I would probably just be scraping by, and if someone offered a job with 40 hours, at the same hourly rate, I would probably take it. Likewise, if someone offered me $0.50 per hour more, even with only 30 hours, I would probably take it. Why? Because I gain a little, with only a little extra effort.
If I am not working any hours, and getting $200 a week in welfare benefits, plus medicaid and food stamps, and someone offers me a job with 30 hours and $210 per week, I probably would not take it. My gain would only be $10 per week, and I would have to work 30 hours to get that $10. Not a good trade off.
And, that is why paying people to sit home, on their ass, is bad for society.