Change the US Healthcare System bit by bit

So frustrated with our an employment-based, non-continuous coverage, for-profit system. Noting that attempts to destroy Roe were through taking bites at it for years from every angle, makes me wonder if same strategy might work. Now would be an opportune time to ask representatives for providing Medicaid to foster/adopted children for LIFE, not just childhood. Physical & mental issues that these children have are often lifelong.

Excerpt from https://www.childwelfare.gov/pubpdfs/health_care_foster.pdf

As children experience more adverse childhood experiences—including child maltreatment, parental substance use disorder, parental divorce or separation, parental incarceration, and domestic violence—they are at an increased risk for long-term and lifelong medical issues, such as adulthood heart disease, stroke, cancer, respiratory diseases, diabetes, depression, and other conditions (Merrick et al., 2019).

If it's put out there, then we can really see who cares about children after they are born in a post-Roe world. Currently, foster/adopt kids on Medicaid can have private insurance as well, Medicaid then acts as the backup coverage in case someone loses a job (or their Hobby Lobby insurance won't cover birth control for a teen!) So they can't argue we're taking away choice of coverage and some Medicaid programs do charge for premiums based on income at least for adults.

I know, Republicans think only rich people should have sex and that will fix the problem of paying for Medicaid, but they have unintended fetal-alcohol pregnancies too and they for the most part are one head injury away from not being able to work themselves to keep their private coverage. Please post your thoughts - I want to have my letter-writing binge well-thought out.