We know that some Republican controlled states have refused the Medicaid expansion portion of Affordable Care Act even though the federal government will fully fund it for the first three years and then after that will pay for at least 95% of the cost. By any measure, accepting the expansion should have been a no-brainer for the states and the only reason that it was refused is because those states did not want to do anything that might be construed as supporting Obamacare. As a result, poor people in those states who do not earn enough to qualify for the subsidies in Obamacare are left without any affordable insurance.
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