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Medicaid expands and drug prices are on the agenda after US midterm elections

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4768 (Published 09 November 2018) Cite this as: BMJ 2018;363:k4768
  1. Owen Dyer
  1. Montreal

Voters in three of America’s most conservative states passed ballot measures that will implement provisions of “Obamacare” and extend Medicaid to tens of thousands of working citizens who earn too much to qualify under the old rules but not enough to afford private insurance.

The electorates of Utah, Nebraska, and Idaho chose to expand coverage as laid down by the Affordable Care Act, even as they largely elected representatives opposed to Barack Obama’s signature healthcare law.

The changes should extend coverage to about 150 000 people in Utah, 90 000 in Nebraska, and 62 000 in Idaho. Thirty three other states have already expanded Medicaid. Such expansion was meant to be automatic under the original law, but in 2012 the Supreme Court ruled that states had the right to …

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