The Brian Lehrer Show Published by The Brian Lehrer Show Should States Opt Out of the Medicaid Expansion? Download this audio Want to embed this player? Use the code below. More info. <iframe frameborder="0" scrolling="no" height="130" width="100%" src="https://www.wnyc.org/widgets/ondemand_player/wnyc/#file=/audio/json/220065/&share=1"></iframe> Share on Facebook Share on Twitter Email a Friend Avik Roy, senior fellow at the Manhattan Institute, explains why some states would opt out of the Medicaid expansion portion of the Affordable Care Act. Avik writes The Apothecary blog on health care policy for Forbes.