Reports out of Cheyenne say that Wyoming is finally talking to federal officials about expanding
That would make Wyoming the 12th state with a Republican governor to expand Medicaid under the Affordable Care Act, leaving 16 with GOP leadership still in the "no expansion" column. The reason for Wyoming's wavering is clear: It's money.
The Health Department says Medicaid expansion could save the state $50 million or more if it expands the program, for which the federal government will pay at least 90%. Meanwhile, Wyoming hospitals say they're losing more than $200 million a year in uncompensated care for people without insurance.
The state Legislature has rejected the expansion, but Republican Gov.
Like Wyoming, the other holdouts are facing increased pressure from hospitals to sign up. It's a matter of dollars and cents for them, too. A few weeks ago,
That's the finding of
Opposition to Medicaid expansion may serve more as a signpost for Republican true-believer candidates. Some of them have moved well to the right of the voting public.
The law's supporters understood this basic fact about social insurance: Once you've improved people's lives, how can you tell them they'll have to go back to the old ways?