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Can't Even Talk About It

Obama
AP Photo / Charles Dharapak

What I'm really struggling with is -- I don't even know how to talk about expanding Medicaid without just pissing Republicans the hell off and making them think I'm part of the problem.

These trade groups are a key part of the coalition of health care advocates pushing for Medicaid expansion. They bring political and economic clout, and undermine the usual GOP-business alliance. But the political environment around Obamacare is so toxic, they just don't see a way forward on expansion in their states in 2014.