Affordable Care Act - Medicaid

In a recent New York Times op-ed piece, columnist Timothy Egan describes the refusal to expand Medicaid as the South's new "lost cause." He makes it plain that this is irrational, but he rather dances around the reason motivating southern states to reject an obviously good deal.

Ed Kilgore, writing in the Washington Monthly, is more direct. Calling the decision to reject Medicaid expansion the "pure meanness litmus test," Kilgore explains what this is about: "...states refusing the Medicaid expansion are doing so on grounds that they don’t want their own citizens to benefit from it. And since opposition has centered in the South, there’s not any real doubt a big motive has been a continuation of that region’s longstanding effort to—choose your verb—(a) reduce dependence on government among, or (b) keep down—those people."

In the 1930's, it was the same region, then in thrall to racist democrats (who have since become republicans),  that made sure the new social security program would exclude "agricultural workers."

There will be serious collateral damage inflicted on an already strapped health care system in the South. The health care industry understands this.