The Trump administration’s efforts to cut federal spending is targeting a broad range of departments and agencies including the low-income health care program Medicaid. Republican lawmakers want work requirements in place for eligibility. But the scope of Medicaid programs goes beyond direct health care. Many people rely on Medicaid for treatment of substance use disorder and drug addiction. West Virginia has the nation's highest overdose numbers and the rate for African American people exceeds any other group. In this episode of Us & Them, host Trey Kay learns how Medicaid money supports the organizations that work in recovery and what that work looks like.