When It Comes To Health Care, There Are 2 Americas, And These Maps Are Proof: ...The states that stay out could fail to improve, or fail to improve as fast as other states that choose to participate,” Schoen said. “In some of these states, staying where you are is not very good performance.”
Black Americans are likely to suffer disproportionately from these policies. More than two-thirds of poor, uninsured blacks live in states not expanding Medicaid, according to a December 2013 New York Times report. Already, the rate of avoidable early deaths among blacks is twice as high as among whites in many states, Commonwealth found. That gap is even wider in states with higher early death rates overall.