Should Louisiana voters be foolish enough to reward Republican Sen. David Vitter with another prominent seat—this time, governor—they might actually get something in return: Medicaid expansion. That's with a real emphasis on "might."
Vitter said he isn't ruling out accepting federal funding to expand the Medicaid program in Louisiana.Yes, that's the same senator who hates Obamacare so much he is still trying to take it away from members of Congress and their staff. But Medicaid expansion is a different beast, and might be the tip of the spear that is going to be the inevitable end of Republican opposition to the law. That's why storied Obamacare hater Mike Pence is trying to figure out how to expand it in his state right now, and every Republican Senate candidate hems and haws and can't say that they are opposed to it, even Mitch McConnell. Every Democrat—looking at you here, Alison Lundergan Grimes—should get out ahead on this one, and run vigorously on Obamacare and Medicaid expansion.
The senator would want to overhaul and change the way Medicaid works in the state before agreeing to the expansion. But Vitter might be willing to take federal money to enroll more people in the government-run health care program.