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Cato Video • July 31, 2012 

# States Can Shut Down ObamaCare’s Big Spending Plans 

Contrary to popular myth, states are under no obligation to expand Medicaid or create a health insurance exchange, and they should refuse to do either. That from Michael F. Cannon, director of health policy studies at the Cato Institute. He argues that the costs to the private sector will be significant if states agree to create exchanges. 

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##### Featuring 

[![Michael F. Cannon](/sites/cato.org/files/styles/author_picture/public/2021-01/Michael%20Cannon.jpg?itok=0UROn8Dc)](/people/michael-f-cannon) 

##### [Michael F. Cannon](/people/michael-f-cannon)

Director of Health Policy Studies, Cato Institute

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](mailto:mcannon@cato.org)