"The upshot of this is that Rick Perry’s Texas can now decide that it would rather give the finger to Obamacare than provide health care to hundreds of thousands of its residents, even though the federal government will cover 90 percent or more of those costs. Doing so, of course, would be cruel; it would save Texas very little money; and it would probably be unpopular with many Texas voters. But Texas now has this opinion if it chooses. In the long run, it is likely that Texas will eventually fall in line — just as every single state in the country eventually realized that the existing Medicaid program is a really good deal that they should agree to. While political fires are burning hot, however, many low income Texans (and Mississippians, and Oklahomans . . . ) are likely to suffer for it." - Hieronymous Boosh from Bookmarklet