Poorest states hurt themselves.

From Daily Kos
(It is tragic, but the Republican philosophy is that, "if you are poor, we don't care if you die nedlessly.")

States that rejected Medicaid [expansion] also have most uninsured, poorest health

Sadly, the states that have the greatest need to expand Medicaid also have the Republican leaders who are refusing to participate. That's according to an analysis from the Los Angeles Times, which states health data to determine levels of coverage and overall health status in the states.

    Colon cancer deaths in states opposing Medicaid expansion, for example, are an average of 16% higher than in pro-expansion states, according to a Los Angeles Times analysis of state health data.

    Deaths from breast cancer are 8% higher on average in anti-expansion states. And adults under 65 are 40% more likely on average to have lost six or more teeth from decay, infection or gum disease. [...]

    Yet most state leaders who are fighting the Medicaid expansion have advanced few alternative plans to tackle their states' health shortfalls. That means that, at least in the short term, America's unhealthiest states could fall even further behind as the Affordable Care Act is implemented.