From the beginning, Obamacare's largest expansion of coverage to the uninsured has come not through the form of subsidized insurance in the exchanges - a middle class entitlement - but through the expansion of Medicaid, the health program with outcomes which largely vary between the subpar and the terrible.
http://news.heartland.org/newspaper-article/2013/05/02/how-oregon-medicaid-study-rocking-liberal-assumptions
http://news.heartland.org/newspaper-article/2013/05/02/how-oregon-medicaid-study-rocking-liberal-assumptions
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