Let’s focus on North Carolina. Our elected leaders chose, we think wisely, not to expand those eligible to receive Medicaid for two reasons: our own Medicaid program is in such disarray and, despite promises to pay 90 percent of the costs for the first years, few believe the federal government can indefinitely sustain payments for up to 500,000 more Medicaid recipients. North Carolina taxpayers would ultimately have to substantially increase the more than 3 billion dollars we currently spend. While practical, their decision guarantees most of them will continue using the emergency room as their first (and most expensive) choice for primary care.
What's your solution, Tom? Single payer?
(Hat tip to Chris T., on Facebook for digging this up.)