Portsmouth’s rejuvenation was due to the expansion of Medicaid under Obamacare, which Ohio governor John Kasich, a Republican, had accepted over the objections of his own party’s legislators. By expanding Medicaid, Obamacare covered addiction treatment for hundreds of thousands of Ohioans. This included virtually all the clients coming south to the Portsmouth treatment centers. Kasich “saved many lives single-handedly in doing that,” said Jay Hash, director of HopeSource, one of the new treatment centers in Portsmouth, who had worked at the Counseling Center. Because of Medicaid expansion,
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