If Republican governors in Indiana, Ohio, Tennessee and Virginia reject ObamaCare's Medicaid expansion and they are joined by a hesitant Democrat in Missouri, then Kentucky's Steve Beshear could face significant in-migration of low income people seeking government health benefits they can't get in their home states.
Of the seven states surrounding Kentucky, only Illinois and West Virginia seem likely to go for the budget-busting entitlement expansion mandated by ObamaCare but made optional by the U.S. Supreme Court.
Beshear's delay on Medicaid expansion is odd for someone who has supposedly been "studying" these issues for a long time.