Medicaid is beginning to smoke, make metal on metal noises and give off a nasty smell

Medicaid expansion didn't expand the state budgets available or the supply of health care providers.  The result according to the erstwhile inert but now groggily waking from it's Obama torpor New York Times is scarcity magnified by falling reimbursement.  This is what happens when you don't give a damn about the supply side.  Because our cartelized health care system with quasi monopolists in every market and a hard cap on the number of new physicians that hasn't risen since the 80s means that instead of getting 'health care' the poor will get a 'health card' and the weakest and least among them will get elbowed aside by the newly eligible who are more affluent and capable.

It's all so very progressive.