Open enrollment in the new state health-insurance marketplaces begins in a matter of days. With less than three weeks to go before the Oct. 1 start date, Georgia’s Republican governor and insurance commissioner are doing everything in their power to make it hard to attract people to Georgia’s exchange. And the state’s big health insurers have been chipping in with well-timed donations.

Georgia is one of 22 mostly Republican-led states that are opting out of Medicaid expansion altogether, despite the federal subsidy that goes with it. In Georgia, that leaves 650,000 of the state’s working poor in limbo, without any subsidy to help them buy insurance on the exchange.

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