If Idaho Gov. C.L. (Butch) Otter still doubts the need to extend Medicaid coverage to low-income adults, the final reason fell into place Monday. The people running Idaho's medically indigent program say its costs are on the rise again. All of which means Idaho's penalty for not extending Medicaid to low-income adults will grow more painful by the year. Idaho has more than 262,000 people without health insurance. When Obamacare takes full effect less than two years from now, about 150,000 Idahoans will be eligible for insurance subsidies purchased through health care exchanges. These could be state-run if Idaho chooses or federally managed if the state defers. Another estimated 110,000 adults will become eligible for Medicaid because they earn just slightly more than the federal poverty limit. But under the U.S. Supreme Court decision upholding Obamacare, Idaho and other states have the option of not expanding Medicaid/Marty Trillhaase, Lewiston Tribune. More here.

Question: What should Butch do?