Medicaid expansion has costs and benefits for states. The net impact on a state's budget is a central concern for policy makers debating implementing this provision of the Affordable Care Act. How large is the state-level fiscal impact of expanding Medicaid, and how should it be estimated? ....
https://read.dukeupress.edu/jhppl/article/doi/10.1215/03616878-7893555/140654/Macroeconomic-Feedback-Effects-of-Medicaid

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