10 states did not fall for the Medicaid expansion trap under Obamacare. The rest are suffering. Private payers (you, one way or another) make up the loss.. Medicaid Expansion Puts Hospitals at Risk.. The Foundation for Government Accountability (FGA) reports Medicaid Expansion Dramatically Increases Hospital Shortfalls emphasis mine. Medicaid expansion ushered in through ObamaCare has led to program enrollment growth well beyond what was promised or projected. While proponents argue that expansion is a silver bullet to keep hospitals financially secure, this is simply not true. Because Medicaid does not pay enough to cover the costs to hospitals to provide...