What happens as the economy flounders and more people get laid off?

According to the Kaiser Family Foundation, a one percent rise in the nation's unemployment rate is projected to lead to 1.1 million more uninsured.

In addition, Kaiser projects 1 million new Medicaid enrollees (600,000 children and 400,000 adults), increasing overall state Medicaid spending by $1.4 billion while tax revenues fall 3 to 4 percent.