This would seem to be a no-brainer to me, but what do I know? I am not in government. If you are North or South Carolina, as an elected body, the hate for the “player” i.e. President Barack Obama has overshadowed the hate for the “game” i.e. Obamacare/ACA. The state will pay for everyone’s healthcare at some point. It would seem to be cheaper to keep them out of Carolinas Medical Center ER as the most costs are borne there.
‘The Affordable Care Act called on for Medicaid expansion among the 50 states.
UPDATE 3/10/2020 Since this story was first published years ago. North & South Carolina continues to avoid Medicaid Expansion