In this Thursday, Oct. 13, 2016 photo, Nicholas Novak poses for a photo in Lynwood, Ill. Novak, a part-time worker needed an operation and found out Medicaid would cover his $46,000 bill. The coverage was made eligible through Obama's Medicaid expansion. Medicaid has long been the stepchild of government health care programs. Now it's finally coming into its own, even as the 2016 presidential election could change its fate. (AP Photo/M. Spencer Green)
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