Where Obamacare Has Worked

Sargent touts the Medicaid expansion:

The larger story is that the Medicaid expansion is emerging as an early Obamacare success — a rare area where the law may already be putting Republicans on the defensive. A new report from the Centers for Medicare and Medicaid Services finds that over 1.4 million people in October were deemed eligible to enroll in Medicaid or CHIP. There was a far larger jump in applications where states are expanding Medicaid than where they aren’t — another sign Obamacare may benefit far more people in states where GOP governors are not trying to block the expansion.

Last week, Alex MacGillis argued that the politics surrounding the Medicaid expansion are shifting:

Governors and legislators rejecting the expansion have been warned over and over that they are leaving hundreds of millions in federal dollars on the table. But now other numbers are coming to bear as well – states are rejecting expansion are actually being [fiscally impacted] twice, because they are not only leaving that money on the table but also bracing for big cuts in federal funding for hospitals that see an unusually high share of uninsured patients. The law calls for cuts in that funding since the whole idea was that fewer patients would now be uninsured. Already, at least five hospitals have closed in states where Medicaid wasn’t expanded. This gives even more ammunition to the health care industry lobbyists in states urging lawmakers to come around on expansion. Meanwhile, it’s becoming more evident just how much expansion-accepting states are benefiting at the expense of taxpayers in expansion-rejecting ones, a fact that politicians in the the latter states, including some Republicans, are sure to latch onto sooner or later.