It's been nearly a decade since South Carolina was presented with a decision: expand Medicaid or opt out. The state is now one of 12 that hasn't expanded Medicaid since then. Health editor Lauren Sausser explains the significance of that decision, and Christian Soura, a former Medicaid director for South Carolina who’s now the executive vice president at the S.C. Hospital Association, explains some of the implications of that decision, for people who fall in the coverage gap and for care providers.