Expansion of Medicaid can hugely benefit rural areas by addressing insurance coverage gaps, especially given that rural residents tend to be less well covered than their urban counterparts with employer-provided health insurance. Medicaid expansion promises rural health providers much needed increased payment levels, which help struggling rural hospitals maintain operations against better-funded suburban and urban competitors.
But it's even worse than that:
Senator Ron Rabin who represents Harnett, Lee and a small portion of Johnston County not only voted in favor of not taking the Medicaid expansion money but is listed as one of the co-sponsors of the Senate bill that refuses to take the Expansion of Medicaid.
Joe Langley is the Democratic candidate looking to unseat Senator Rabin in the 12th District. Ballotpedia, http://ballotpedia.org/North_Carolina_State_Senate_elections,_2014, has listed this race as one of two competitive races. Rabin is also under fire for his support of fracking. Joe Langley is anti-fracking and for Medicaid expansion.
If the people of Harnett County want to turn their beautiful part of North Carolina into a pitiful wasteland, Rabin's their go-to guy. If they're looking to be good stewards of their natural and human resources, they'll elect Joe Langley.