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Living in a fragmented democracy

Democracy Works

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Medicaid: A Child of Federalism

Medicaid is very much a child of federalism. And so, you know, if you walk from one state to another that your Medicaid benefits and eligibility can change drastically. Some people are actually making life decisions around what kind of health care they might get under a state Medicaid system. So it's not even just like the first order effects of material outcomes for people. But there's a second set of effects around how people participate in politics because they are telegraph messages about whether they should or not.

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