"But for now, according to the foundation, 4.8 million Americans won't be covered as the law intended in those non-expanding states. They don't qualify for Medicaid now, but would have under the expansion, and they don't make enough money to qualify for financial help to buy private coverage. They're Obamacare's other losers, while media coverage focuses on those people whose individual policies are being canceled under the law.
A quick reminder of how this happened: Obamacare was written with the intention that every state would expand Medicaid, the low-income public insurance program, to 133 percent of the federal poverty level. The expansion would have accounted for about half of the people who would get covered under the law (17 million, according to the Congressional Budget Office). Many of the newly eligible people would have been childless adults who currently aren't eligible for the program in most states.
It was supposed to be a good deal for states, too: the federal government would cover 100 percent of the costs for the first three years and never less than 90 percent after that.
http://talkingpointsmemo.com/dc/medicaid-expansion-map-obamacare-losers
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