Medicaid is a US health care program for families and individuals with limited income, created as a result of the Social Security Amendments of 1965. Each state has broad leeway to determine if Medicaid is to be implemented, with conservatives claiming that people should not have to pay for other people's health care; liberals believe in the human rights aspect of medicaid, as it would be immoral to leave the less-advantaged people to die. In 2005, Medicaid spending surpassed 4% of the United States' GDP.