In the letter, Emery suggests that if the woman wants Medicaid, she can move to Oregon. This coming, of course, from someone who has no problem affording health insurance.
"There are additional reasons why Medicaid expansion is wrong for Missouri that you may discover with further study. They will also become more obvious as those states who have taken that course will begin to experience the consequences. Nonetheless, an invaluable aspect of our federation of states is that each state is like a laboratory for government policies. We live in a nation and an era that facilitates physical moves between states. Individuals and families are free to consider moving to states with differing and even contrasting policies. That is the beauty of federalism."
Emery told the Riverfront Times he was not telling her she should move to Oregon. "I try to make them understand the choices they have and let them know what their best options are."
Emery says he wants Ms. Cole to stay because Missouri is heading in a better direction for health care.