Conservatives are telling elected leaders that expansion of Medicaid comes at a moral - or more overtly, a political - price. At what price are they willing to go back on years of proclaiming 'socialized medicine' as the slippery slope to 'rationing of health care,' 'death panels' and other claims far too gruesome to mention in polite company?

When companies are trying to find a state to locate a new business or factory, they look at a number of factors - including tax structure, employment base, infrastructure, education system, etc. One of the most important is a strong and sound health care system in the communities where employees will work and live.

Enacting elements of the Affordable Care Act isn't backtracking on core principles, but rather understanding that new ways to help make health care affordable builds stronger businesses and saves struggling hospitals. And that is a very attractive offer.

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