One piece of good news is the woodwork effect is real. Streamlining of the Medicaid enrollment process across all states will help many people who are currently eligible for Medicaid but never figured out how to apply will enroll, even in states refusing the expansion.
But there might be another silver lining to states refusing to expand Medicaid: deficit reduction.
First, a disclaimer: My first-choice policy preference is to expand Medicaid. Actually, that's my second and third choices as well. And when it comes to prioritizing deficit reduction during times of high unemployment and recession, I side with the great Charlie Pierce:
Now I have only one opinion on economics — Fk The Deficit. People Got No Jobs. People Got No Money —