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In GOP “primary speak,” Kasich accepting Medicaid expansion translates into being supportive of government overreach and increased deficits. That has earned him the dreaded RINO title (Republican In Name Only) a potential kiss of death in early primaries.

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On the flip side, a RINO label could prove to be beneficial if one is to believe a recent poll showing Republican governors who rejected Medicaid expansion are being hindered in their reelection bids.

In the words of Kasich helping Ohioans “move forward” through Medicaid expansion may sound reasonable to moderate or independent voters in a state-wide election, but Kasich might experience what Mitt Romney discovered in 2012—a policy that makes sense in your state may come back to bite you in GOP primaries.

The question still remains whether Kasich is “conservative enough” for the voters who control the GOP primary process and will they forgive him for the sin of Medicaid expansion under Obamacare?

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