Opting In, Opting Out: The Politics of State Medicaid Expansion

  title={Opting In, Opting Out: The Politics of State Medicaid Expansion},
  author={Shanna Rose},
  journal={The Forum},
  pages={63 - 82}
Abstract As the list of Republican-led states participating in the Medicaid expansion grows, it is becoming increasingly clear that partisanship and ideology alone cannot fully explain states’ choices. This paper examines the political and practical dynamics influencing state Medicaid expansion decisions. Whereas resources and history have served to reinforce the effects of partisanship and ideology, several countervailing forces – including public opinion, interest group pressure, budgetary… Expand

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