louisiana. let's take a listen. >> in louisiana, 48th in the country in terms of child poverty and premature death and 48th in terms of industrial accidents and so forth. just by expanding medicate alone and accepting the president's expansion, 340,000 out of his 860,000 uninsured people get covered. >> as a doctor, when you hear about what's going on in your home state, how can it not afford to implement the exchange? >> it's interesting, medicaid pays so far below the rates, often times a patient cannot see a doctor. it is the illusion of coverage without the power of it. howard dean's wife, a doctor in vermont, does not accept medicaid because medicaid pays so poorly. if you take louisiana's medicaid and expand it further, that means more people will have the illusion of coverage without the