Must-Read: It was this very smart person who first clued me in in late 2009 to the fact that ObamaCare was a lobster with two claws--an Exchange claw and a Medicaid expansion claw--and that even though the energy and attention was all on the first, the second claw was likely to be the big claw:
The Medicaid Two-Step: "Aside from the facts that Medicaid is real insurance and Medicaid recipients are real people...
:...the whole ‘but it’s just a Medicaid expansion’ claim is outrageous coming from people who insisted just the other day that expanding Medicaid wouldn’t work. So will the Medicaid-won’t work claim be dropped? Of course not. No anti-Obamacare argument ever is. These are people completely untroubled by cognitive dissonance.
http://krugman.blogs.nytimes.com/2015/08/17/the-medicaid-two-step/