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Can't Even Talk About It

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.

About The Author


David Kurtz is Managing Editor and Washington Bureau Chief of Talking Points Memo where he oversees the news operations of TPM and its sister sites.