Refusing Medicaid Expansion Is Costing Red States a Bundle

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Here’s a remarkable chart cobbled together from a survey of state Medicaid directors by the Kaiser Family Foundation. It’s a little ugly, but bear with me.

This is a projection of Medicaid enrollment and spending for 2015 that compares states that accepted the Obamacare Medicaid expansion with those that didn’t. As you can see, in states that accepted the expansion, enrollment is forecast to cover 18 percent more people compared to only 5.2 percent more in non-expansion states. And as you’d expect, this will cost money: total Medicaid spending will rise faster in expansion states than non-expansion states.

But most of that spending growth is covered by the federal government. It turns out that states which accepted the Medicaid expansion expect state spending to grow more slowly than in non-expansion states.

In other words, the non-expansion states really are shooting themselves in the foot. They’re enrolling fewer people, but paying more to do it. They actually prefer spending more money if the alternative is spending less but helping their own poor with medical coverage. Hard to believe.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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