As Maryland considers following states like Florida and S.C. in (gasp) voucherizing Medicaid, NC is still in the "let’s expand it" phase. In typical fashion, we’ll be five years behind the curve. While other states innovate (even bad innovations like Massachusetts’ Mitt-care) we’ll be figuring out not only that Medicaid is gobbling our state budget, but that government is the least effect means of delivering healthcare goods and services. For now, the DMVification of healthcare proceeds apace.
(Note to Marylanders: Don’t use the v-word. Instead call it a "health credit".)