Off the Rails, Republicans, Short & Sweet ... Short & Sour Pure spite denies medical care for the rural poor in red states June 25, 2019 Editor Quote of the day comparing states that accepted Medicaid expansion and states that refused to do so: “Expansion cost the states nothing at the start and only a tiny amount past 2020. It was virtually free, and the funding came from taxes these states were paying regardless. There was no reason to refuse Medicaid expansion except for sheer spite toward Barack Obama or else simple hatred of providing services for the poor—or both.” — Kevin Drum