Among the reasons some governors say they're considering not expanding their Medicaid programs under the Affordable Care Act is that Medicaid is, well, not a very good program.
"Medicaid is a system of inflexible mandates, one-size-fits-all requirements, and wasteful bureaucratic inefficiencies," Texas Republican Gov. Rick Perry wrote in a letter to Health and Human Services Secretary Kathleen Sebelius, explaining why he planned to reject the federal government's offer to pay 100 percent of the expansion cost for the first few years and 90 percent thereafter.
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Source: NPR
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