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States’ Obamacare alternatives worth trying: Our view
USA Today

The Affordable Care Act offered states a seemingly too-good-to-refuse deal for extending health coverage to their poorest citizens: Expand existing state Medicaid programs and pay virtually nothing.

States usually pick up about 43% of the cost of Medicaid. But under the deal, the federal government covers 100% of the expansion cost for the first three years. After that, states bear part of the cost, but never more than 10%.

What a bargain, at least for states whose leaders cared that hundreds of thousands of their neediest residents had no health care other than what they could patch together at clinics or high-cost hospital emergency rooms.

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