A question, not a diary.
It makes no sense that the poorest among us, if stuck in a heartless Red State that won't opt in for the Expanded Medicaid program, will be penalized with no Medicaid coverage.
So, if the FED is willing to pay 100% of Expanded Medicaid to states that opt in, then provide an online option for those trapped in the heartless states to sign up.
How hard is that to fix?
Then in 3 years when the FED drops its contribution to 90%, ask the health care providers to reduce the costs for these people by 10%. It would be cheaper over time than the cost of them showing up in emergency rooms unable to pay.
Where is the logic?