"Trump’s campaign promise to “maximize flexibility for states via block grants so that local leaders can design innovative Medicaid programs that will better serve their low-income citizens.” "

Again, the use of the phrase "will better serve our low income citizens" tried to sound like they are coming from a humanistic basis. They are also trying to frame this in a way that seems to give flexibility and freedom to innovate to local leaders...that by doing this they are facilitating this potentially more innovative and fliexible approach. It "sounds" good framing in this way, but it's not taking some of the realities of how horribly this can effect the states who might be left holding the bag financially and the citizens who may wind up left with out much needed services.