For more than a decade now, advocates of the Affordable Care Act have pressed the North Carolina General Assembly to implement the federal law’s most expansive and expensive element: expanding Medicaid to virtually all low-income adults. Every year, advocates have left the legislature disappointed.

They left disappointed at the end of the 2022 legislative session, too. I wish it was because most lawmakers resolutely rejected Medicaid expansion. I’m no fan of the policy, which would add hundreds of thousands of North Carolinians to the public dole and widen the federal government’s already massive budget deficit.

John Hood is a John Locke Foundation board member.

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