Rene had affordable health insurance through her employer until three years ago. This insurance helped her see the doctor regularly and afford medication for her severe arthritis. Unfortunately, when she lost the job she held for fifteen years due to downsizing, she was no longer able to afford health insurance. With the slow economic recovery, Rene has had trouble finding new employment and affordable health coverage. As a full-time student, Rene makes only $6,000 a year. Without Medicaid expansion, Rene would need to pay over 2/3 of her income for health insurance. Rene worries that a serious health problem will bankrupt her. She’s already paying off a visit to the emergency room when she didn’t have insurance. She’s concerned that without adequate health insurance another similar trip will end in the loss of her house.