“In the midst of the confusion and heated rhetoric about the future of health care insurance in our country,” Governor Hutchinson said, “Arkansas has led the way in health care reform, and the result is that requested increases are much less than we are seeing nationally. We have maintained multiple choices for the consumer that are more balanced and competitive, but we have to continue to slow down the rising health care costs. This news shows progress.”The future? Uncertain both at the state and national level. Hutchinson wants to reduce those covered by Medicaid by 60,000 and insists government subsidies will push those people into the marketplace, a belief some think unlikely on account of the costs working poor would face. Even more uncertain is how much support Congress will continue to muster for the Medicaid expansion. Most Republicans favor a reduction over time.