How to Stop Medicaid Expansion

The Affordable Care Act is still the law of the land. A viable repeal-and-replace effort may or may not be forthcoming in Congress, but until one materializes the provisions of the ACA remain in effect, and the Trump administration is bound by law to enforce them.

But the administration has made little secret of the fact that it does not to enforce them—especially not the pieces that will tend to erode political support for repeal. Many of the 19 Republican-led states that have resisted the ACA’s expansion of Medicaid to low-income healthy adults, struggling with public-health