Part of the deal that Obamacare had to make with the Devil aka, the Supreme Court of the United States for its survival was that one key part intended to expand health care coverage to many of the millions of Americans who now lack it stopped being a requirement and instead was left up to the tender mercies of the various states.
But there is nothing tender about the fact that states that accept the plan to expand coverage to the poor will benefit economically. And there is nothing merciful about any state that would reject the plan as a way of making a harsh ideological statement at the expense of its most vulnerable residents.
Utah is among the states still riding the fence on the question of whether it should expand the existing Medicaid system that has long provided some measure of health insurance to the poor. It should accept the offer.