Even as Indiana opponents of Obamacare shed crocodile tears for the few who may be forced to upgrade substandard medical insurance plans, they push ahead with a plan guaranteeing that thousands of Hoosiers will be left with no medical coverage at all.

The estimated 182,000 Hoosiers who will be shut out because the state declined the option of expanding Medicaid are, in sense, just collateral damage in an ideological battle.

The Pence administration, you see, wants to preserve the Healthy Indiana Plan, which requires that patients buy into their own coverage and, the theory goes, encourages them to use their health care prudently.

But HIP, which seemed a good idea when it began in 2008, has never lived up to expectations and today is decidedly unhealthy.

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