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Affordable Care Act (Obamacare)
What happens when a state tries to make Obamacare work -- or not work
What happens when a state tries to make Obamacare work -- or not work

There were signs almost from the start that the great unknown about the Affordable Care Act was how effectively individual states would implement the law. The question got more complicated after the Supreme Court turned one of the key provisions, the expansion of Medicaid, into a state option. Now, as the evidence starts rolling in from the states, it is even more clear that their policies make all the difference in the world. Let's start with Kentucky, a weird case. Its congressional delegation is 7 to 1 Republican, with Rep. John Yarmuth of Louisville the only Democrat; the others are all firmly committed to the GOP hard line of repealing Obamacare. But under Democratic Gov. Steve...

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