Trevor also slowly died because the dogmas and hierarchies he supported reflected the agendas of politicians who clamored that health care reform and Medicaid expansion represented everything from government overreach to evil incarnate. Anti-ACA invective found particular champions in GOP lawmakers in Tennessee, a once centrist state that turned hard right. These politicians repeatedly made sure that Tennessee did not create its own Obamacare exchange, expand Medicaid, or embrace the health care law in any way.
