Over 2.5 Million Floridians Lack Health Insurance and DeSantis Still Won’t Expand Medicaid

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By Giselle Balido

September 28, 2023

During Wednesday night’s second GOP presidential debate, the Republican governor blamed “economic decline” for the state’s high uninsured rate and ignored Medicaid expansion, celebrating that Florida doesn’t have “a lot of welfare benefits.”

More than 2.5 million Floridians (12% of the population) lack health insurance, a rate that is well above the national average and almost certain to rise this year after the expiration of a pandemic-era measure that prevented people from being disenrolled from Medicaid. 

Yet during the second Republican presidential debate Wednesday night at the Ronald Reagan Presidential Library in California, Gov. Ron DeSantis failed to offer substantive policy answers when challenged about the state’s healthcare crisis.

When asked about Florida’s high rate of uninsured individuals, the governor blamed “economic decline” as he railed against the rising costs of groceries and gas, Big Pharma, Big Insurance and Big Government, and boasted that Florida doesn’t have “a lot of welfare benefits.” 

But for years healthcare advocates have been pointing to one of the root causes of the healthcare crisis affecting children and families in the Sunshine State: his refusal to expand Medicaid.

A Refusal to Expand

Florida is one of 10 states that has not expanded its Medicaid eligibility to cover more low-income residents under the Affordable Care Act, popularly known as “Obamacare.” 

RELATED: Florida Leads Nation in People Removed from Medicaid After Pandemic-Era Rule Ends

Yet Gov. Ron DeSantis’ and state Republican leaders’ continued refusal to support Medicaid expansion—with the federal government covering 90% of the cost—means that roughly 800,000 to 1.1 million Floridians aren’t getting health insurance they would be eligible for. 

DeSantis’ opposition to Medicaid expansion isn’t a new position.

While serving in Congress, DeSantis voted six times to repeal the Affordable Care Act, and strip millions of affordable health coverage. DeSantis and state Republican leaders continue to sound the alarm about the future costs of expanding Medicaid. Yet the benefits are clear: 

  • States that expand will get billions in federal incentive funding for newly expanding states, according to a Center on Budget and Policy Priorities (CBPP) estimate.
  • Florida could save $200 million per year by expanding Medicaid, according to an analysis by the Florida Policy Institute.  
  • Groups with the largest coverage gains would include non-Hispanic Black people, young adults, and women, and particularly women of reproductive age.
  • Medicaid expansion has been shown to save lives and improve postpartum maternal health outcomes. It would also expand access to mental healthcare and substance use treatment amid the state’s growing mental health and addiction crises.

‘It’s All About Power’

During a visit to the University of Tampa in February of this year, President Biden, who is running on lowering drug costs, among other healthcare provisions, pledged to push for Medicaid expansion in the state. 

RELATED: Biden’s Budget Would Tax Billionaires, Corporations to Strengthen Medicare, Expand Childare, and Help Families

“Over 1.1 million people in Florida would be eligible for Medicaid if Governor DeSantis just said I agree to expand it,” Biden said, adding that “the only reason that Medicare expansion hasn’t happened here is because of politics.” 

Florida Sen. Victor (Vic) Torres, Jr., a Boricua Democrat representing south Orange and north Osceola counties, agrees with the president. 

“This is 20 years of Republican control,” Torres previously told Floricua. “It’s all about power, about who controls the budget. It’s all about not giving Democrats a win.”


  • Giselle Balido

    Giselle is Floricua's political correspondent. She writes about the economy, environmental and social justice, and all things Latino. A published author, Giselle was born in Havana and grew up in New Jersey and Miami. She is passionate about equality, books, and cats.



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