Virginia’s Medicaid expansion vote shows the shifting Republican approach to healthcare in Appalachia (Belt Magazine)

Terry Kilgore saw the writing on the wall. The longtime Republican state delegate, who represents Virginia’s southwestern-most district, had watched as Republicans grabbed the White House and both houses of Congress in 2016 and then failed to act on healthcare. A year later, Democrats came within a single, disputed vote of winning parity in the Virginia House of Delegates. And Kilgore’s constituents in an economically distressed Appalachian district were struggling with paying for healthcare.

All that contributed to Kilgore’s flip after four years to support Medicaid expansion in Virginia. He and a handful of other Appalachian Republicans broke ranks to join Democrats to expand coverage for an additional 400,000 Virginians, including many in the mountainous part of the state.

I wrote about the why and how for Belt Magazine. Read it here.