Let's say I speak out of experience. My income sat right on the line and found out that we had a lot better healthcare options with private insurance because so few medical offices wanted to take Medicaid. Those that did were much lower in quality. If I moved to a state that expanded Medicaid, I'd be thrown back into it, and I don't want that to happen. I'm sincerely better off with something else. That's why I know so much about Medicaid vs. Obamacare for families that are above poverty but not wealthy.