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Joe Balyeat recently wrote a Community Forum column about why the Legislature should refuse the expansion of Medicaid in Montana. As a staunch Republican and a board member of a hospital in a small town, I disagree. Mr. Balyeat's synopsis of the health care program seems to suggest that we should do away with the systems that are in place. Regardless of what Mr. Balyeat believes and regardless of whether he and I agree on policies, Mr. Obama is the president and his health care plan is in place for at least four more years....