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Another aspect that should be repealed is Medicaid expansion. Medicaid promises individuals health coverage, however it denies them access to quality doctors. This happens too often, with about 40 percent of primary care doctors not accepting Medicaid patients, because the reimbursement is too low. The result is that patients on Medicaid have worse outcomes after major surgeries, high infant mortality rates, and go to the emergency room more often. (F) Even with these access issues, Medicaid spending is constantly increasing. The total federal and state spending on Medicaid exceeded $400 billion dollars in 2010. The Medicaid program currently is struggling to provide care to its core obligations (low income children, disabled, pregnant women,

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