A doctor's view of Louisiana Medicaid expansion is it's working

Opinion by Scott Martin, M.D.

I had the great misfortune to begin my career as a physician practicing in Louisiana without the initial expansion of Medicaid under the Affordable Care Act.  Although many hundreds of thousands of people would have benefited significantly from the expansion, the gubernatorial politics of the time were firmly set against it. 

Instead I spent my three years of internal medicine residency in a busy, New Orleans hospital system routinely dealing with the uninsured. My patient population ran the spectrum from homeless schizophrenics and shackled prisoners to unemployed pipe-guys and working single mothers. We treated all comers, often dealing with a shocking level of poverty and disenfranchisement.