It Ain’t Over ’til It’s Over

The funny thing about Medicaid expansion is that it is like endless soup — that recipe where tomorrow you take on yesterday's leftovers, build in a few new ingredients, and serve it up. Don't like today's soup? You could always hold out for tomorrow's.   By this, I mean that optional Medicaid expansion under the ACA is never a yes or no thing, only a "not now" or "not on those terms" thing.  And so it has always been with Medicaid state buy-in since its very inception and so it is, I would argue, with American-style health care reform.  We are rarely all in or all out.

That's what I say when people ask me about the Missouri legislature's apparent failure to address ACA optional Medicaid expansion this session.

Anybody for yesterday's soup?

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