As the GOP confronts the complexity of repealing Obamacare, Senate Republicans hailing from states that expanded their Medicaid programs under the Affordable Care Act are feeling an extra layer of pressure.
Altogether, there will likely be 20 Republican senators from Medicaid expansion states next term. Many come from so-called “Trump country,” the industrial and rust belt states like Pennsylvania and Ohio that were critical to Trump’s win. Working class whites in general have been among the top beneficiaries of Medicaid expansion.
"I'm from a state that has an expanded Medicaid population that I am very concerned about," said Sen. Shelley Moore Capito (R-WV) this week. "I don't want to throw them off into the cold, and I don't think that's a strategy that I want to see. It's too many people. That's over 200,000 people in my state. So we need a transition. I think we'll repeal and then we'll work during the transition period for the replacement vehicle."
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