Medicaid expansion will launch Dec. 1 in North Carolina, Gov. Roy Cooper announced on Monday after achieving what he’s sought for nearly seven years on the job and what’s possibly his biggest policy win. Government health insurance should be available to another 600,000 low-income adults, with roughly half of them receiving coverage on Day One. But securing expansion through the Republican-controlled state legislature came with hefty political expenses for the Democratic governor that will be difficult to reverse.
