[texas booster]

No state has embraced the federal plan as avidly, with some $16 billion in federal money going to enroll nearly 4 million residents.

Actually about $4,000,000 per enrollee. How can they be so inefficient ... sorry, stupid question.

4 million residents - how many citizens?

Since, by law, EVERYONE already has emergency room admittance, how does CA move those expenses around to taxpayers in other states? Which is what they were doing.

[MortMan]

Moving from millions to billions is only 3 zeroes.

Still, crazily stupid “economy of scale”.