Discussion I'm having on FB. Can someone with knowlege about the ACA help me out?

[BlueStreak]

44. And also mention

that the ACA calls for reduced payments to hospitals to cover indigent care because the law assumed every state would implement this no-brainer program. Lots of hospitals in these red states will be shutting down because of this. As pnwmom says, this is a really dumb way to make a political point.

I can't even remember what the point was.

"As your governor, I have decided to not expand Medicaid, even though it would actually improve the state's budget every year and be a powerful driver for our state's economy. As a result, hundreds of thousands of you will continue to go without health care coverage, and those with insurance will pay more than people in the other states because you are picking up the tab. And the practical result is that all of our hospitals lose some funding, so much that several hospitals will have to close altogether. I realize this may sound insane to you, but let me explain why I took this action that appears stupid from every angle you look at it. I determined this was the only right thing to do because ... well, I can't exactly really remember why. But God Bless America, and good evening." (Exit stage left without taking any questions.)