Unfortunately, the uninsured figure could be higher depending on the states’ refusal of Medicaid expansion. Limited hospital choices will be available due to limited choice of insurance carriers within territory. In New Hampshire, just one carrier signed — Anthem Blue Cross. This will cause extreme inconvenience to those that must travel great distances for treatment. Regardless, these persons will not be turned down for health care when needed, costing most states multimillions of dollars because of the lack of choice. This controlled, socialistic, experimental, big government program is one big taxing reason to be concerned for all Americans.