Here's what's holding back Medicaid expansion in Mississippi and other Southern states

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Here's what's holding back Medicaid expansion in Mississippi and other Southern states
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More than a million people could get health care if these states would pass laws expanding Medicaid. Most residents want the expansion but entrenched politics stands in the way.

A coalition of advocates call for full Medicaid expansion in Mississippi at a rally at the State Capitol in Jackson, Miss., Wednesday, April 17, 2024. The gathering drew supporters from throughout the state representing religious, social and human service organizations, medical professionals and legislators.A coalition of advocates call for full Medicaid expansion in Mississippi at a rally at the State Capitol in Jackson, Miss., Wednesday, April 17, 2024.

Seven of those states are in the South. As more red states adopt it, the"drumbeat" of support, as one Southern state lawmaker put it, grows louder. But the opposition to expansion is heavily political.

In neighboring Alabama, politics also thwarted expansion attempts this year. Although the state legislature didn't discuss any direct expansion bills, there was an attempt to include expansion language in a bill about casino gambling — a provision to allocate some gaming profits to rural health systems.more people would be covered, according to KFF. But the connection to Obamacare remains a stumbling block in Alabama's Republican-dominated state legislature.

Opponents of Medicaid expansion in Alabama are also concerned about the potential impacts of"free health care" on the workforce.

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