The Federal government provides money to states to provide Medicare to low income earners but some states refuse to take it & provide that to their residents.

“Expanding Medicaid is an option available to states since 2014 through the Affordable Care Act, commonly known as Obamacare, yet Wyoming and 11 other states have refused to take up the federal government’s offer. About 2.2 million people, who earn too much for Medicaid and too little for Obamacare subsidies, fall in that coverage gap nationwide”

https://news.yahoo.com/bidens-obamacare-funding-shifts-medicaid-100009719.html

Really cruel to deny your low income residents federally funded care. It’s really disgusting imo. Idk How people can vote for the GOP.