Time and again, we’ve heard the same excuse: Medicaid cannot be expanded in Georgia, extending much-needed health insurance to some 400,000 of our fellow citizens, because the state budget is under too much strain.

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Ceudy Gutierrez reads a book to her 2-year-old son, Matias, at their home in Buford, GA, on Tuesday, Nov. 18, 2025. Ceudy Gutierrez is struggling to make ends meet for herself and her three young kids following her husband’s ICE arrest earlier this fall. (Miguel Martinez/ AJC)

Credit: Miguel Martinez-Jimenez