States should expand Medicaid because choosing not to do so would leave many working families without coverage, and would not do anything to alleviate the costly burden of uncompensated care, George Washington University professor Sara Rosenbaum writes. The Heritage Foundation's Ed Haislmaier writes that states should opt out of Medicaid expansion because it doesn't require people to work if they are able, and it is a disservice to push people into a system that offers substandard care.

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