Why it matters that the Wisconsin GOP rejected Medicaid expansion Biden thought he'd come up with a Medicaid expansion offer that states couldn't refuse. Republicans still don't care. A sign for a polling place near the state capitol in Madison, Wis., on Nov. 6, 2018.Nick Oxford / Reuters file May 26, 2021, 12:44 PM UTC BySteve Benen For most of the country, it was obvious years ago that Medicaid expansion through the Affordable Care Act is a good deal, but as regular readers know, there are still 12 holdouts. As a consequence, there are more than 2 million low-income Americans who don't have health security, simply because Republicans in their respective states refuse to do the right thing.