An expert analysis of the pros and cons of Utah expanding its Medicaid program under the provisions of the Affordable Care Act shows that there is no mathematical reason not to do so.
So the only reason Gov. Gary Herbert and the members of the Utah Legislature would have to reject this opportunity which would expand healthcare coverage to 123,000 Utahns even as it saved the state $131 million over 10 years would be ideological. It would be a dogmatic rejection of the demonstrated fact that the ACA, also known as Obamacare, actually can expand health insurance to large numbers of people who now lack it in a way that not only doesn't cost the state money, but saves it millions.
This truth has been accepted by, among others, Arizona Gov. Jan Brewer. Brewer, who takes a back seat to no one in her tea party credentials on such issues as guns and immigration, is so determined to include her state in the ranks of fully expanded Medicaid that she has started vetoing every bill that comes to her desk, and says she will continue to wield the veto stamp until her Legislature ratifies her choice.