David Ramsey illustrated this point yesterday. If Arkansas’s adoption of Obamacare through the so-called private option falls apart, the poorest of the state’s poor would be left with no health coverage, while some subsidies would be provided for people with higher income. Belatedly, some staunch opponents of expanded health coverage have evinced concerns about this.

It’s a national problem, particularly in states accounting for more than half the U.S. population that have refused to expand Medicaid. See Texas, Florida, Louisiana and more.

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The New York Times reports on the broader picture this morning.

The refusal by about half the states to expand Medicaid will leave millions of poor people ineligible for government-subsidized health insurance under President Obama’s health care law even as many others with higher incomes receive federal subsidies to buy insurance.

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