Nine of 30 Republican governors have pushed for their states to participate in Obamacare's Medicaid expansion. It looks like that number is about to rise to 10…. Pennsylvania Gov. Tom Corbett (R) will announce on Monday a plan for his state to expand Medicaid…. Conservatives are obsessed with blocking Obamacare and they don't want states to participate in any way, even if the federal government will pay substantially all the costs. But when Republican state officials decline to participate, they will have to explain to both medical providers and potential Medicaid beneficiaries that they turned down free federal money just to spite the president. The hospital situation will become especially untenable in 2014. The federal government will cut so-called "disproportionate share" payments to hospitals that are meant to compensate them for treating the uninsured because the Medicaid expansion should reduce the number of uninsured…. Some hospitals will close…. Medicaid-blocking Republicans will take the blame.
Some Republican officials, like Gov. Jan Brewer (R-Ariz.), have been smart enough to understand this dynamic and decided to take some political hits now to have an easier 2014. Others, like Gov. Scott Walker (Wisc.) and Gov. Bobby Jindal (La.) have blocked the expansion.