Could Medicaid expansion happen this year? South Dakota has already given up two of the best years of the federal government's offer under the Affordable Care Act to cover most of the cost of putting 48,000 low-income South Dakotans on affordable public health insurance. But John Tsitrian notices that Governor Dennis Daugaard is hinting at a shift from his ideological excuses to an openness to accepting some form of the Medicaid expansion.

And Democrats are working hard to make that possible. AP reports that our man Bernie (that's Senator Hunhoff, D-18/Yankton) is working behind the scenes with health care providers to bring some sort of Medicaid expansion to South Dakota.

Hmm... just a thought: if health care philanthropist T. Denny Sanford can kick in $25 million to match state funds and launch Governor Daugaard's scholarships for welders, might we be able to persuade Sanford to spend a fraction of that money each year to bring hundreds of millions in the Medicaid economic stimulus to South Dakota?