North Carolina Republicans Go Wobbly on Medicaid Expansion

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Will North Carolina soon make a generational mistake? After avoiding ObamaCare’s Medicaid expansion for a decade, some Republican lawmakers are considering a deal with Democratic Gov. Roy Cooper that would accept the program in exchange for extra spending and tax cuts. They should think twice before trading short-term priorities for long-term fiscal pain and even worse healthcare for the state’s most vulnerable residents.

The situation is moving quickly. On Oct. 9, Sen. Phil Berger, the highest-ranking Republican in the North Carolina Senate, publicly said he’s “open to discussion” on Medicaid expansion after years of opposing the policy. The change of heart follows back-room negotiations with Mr. Cooper and Republican House Speaker Tim Moore about passing a state budget, which hasn’t happened since 2017.