Neither can most hospitals. The percentage of people on Medicaid, ACA funded by Medicaid expansion or Medicare vastly outnumbers people on private insurance. Vastly. There will be no hospitals or services affiliated with hospitals.
They literally refuse to see it like this. They’ve been so detached from the consequences of their own actions thus far. It would be a miracle if 10 years in they gain the ability to take responsibility for their own votes. Sadly, they will probably blame everyone else forever.
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https://www.aeinstein.org/198-methods-of-nonviolent-action
62% of people in nursing homes pay their bill with medicaid. Many people spend all their assets first and then medicaid kicks in.