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In this Friday, Jan. 24, 2014 photo, a patient at right is assisted while walking out of the emergency department at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this Friday, Jan. 24, 2014 photo, an EMS worker wheels a patient through the emergency department at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this Friday, Jan. 24, 2014 photo, EKG Technician Gwendolyn Freeman makes her rounds at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this Friday, Jan. 24, 2014 photo, a bed sits empty in an operating room at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this Friday, Jan. 24, 2014 photo, emergency care center paramedic Michael Gilbert cleans equipment in an exam room at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this Friday, Jan. 24, 2014 photo, a worker wheels beds through the emergency department at Grady Memorial Hospital, in Atlanta. In two years, federal payments to hospitals treating a large share of the nation’s poor will begin to evaporate under the premise that more people than ever will have some form of insurance under the federal health care law. The problem is that many states have refused to expand Medicaid, leaving public safety net hospitals there in a potentially precarious financial situation and elected officials facing growing pressure to find a fiscal fix. And in an election year, Democrats are using the decision by Republican governors not to expand Medicaid as a major campaign issue and arguing the hospital situation could have been avoided. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, Andrei Ozerny smokes a cigarette while sitting in the Mayak cabaret, the most reputable gay club in Sochi, Russia, host to the 2014 Winter Olympics. Most of Mayak’s clients shy away from cameras and plead for anonymity. Not so Ozyorny, a 24-year-old Sochi native. Ozyorny, one of Mayak's regulars, has recently done something that he feels proud of and which makes his partner fear for his business and safety. When Sochi's mayor said in an interview last month that there were no gays in Sochi, Ozyorny wrote a letter to the mayor that was published in prominent Russian media. "Nice to meet you, I'm one of them," Ozyorny wrote. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, Andrei Ozerny, right, talks with his partner who would only give his first name as Georgy, at the Mayak cabaret, the most reputable gay club in Sochi, Russia, host to the 2014 Winter Olympics. Most of Mayak’s clients shy away from cameras and plead for anonymity. Not so Ozyorny, a 24-year-old Sochi native. Ozyorny, one of Mayak's regulars, has recently done something that he feels proud of and which makes his partner fear for his business and safety. When Sochi's mayor said in an interview last month that there were no gays in Sochi, Ozyorny wrote a letter to the mayor that was published in prominent Russian media. "Nice to meet you, I'm one of them," Ozyorny wrote. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, Andrei Ozerny, left, sits with his partner who would only give his first name as Georgy, right, for a photo at the Mayak cabaret, the most reputable gay club in Sochi, Russia, host of the 2014 Winter Olympics. Most of Mayak's clients shy away from cameras and plead for anonymity. Not so Ozyorny, a 24-year-old Sochi native. Ozyorny, one of Mayak's regulars, has recently done something that he feels proud of and which makes his partner fear for his business and safety. When Sochi's mayor said in an interview last month that there were no gays in Sochi, Ozyorny wrote a letter to the mayor that was published in prominent Russian media. "Nice to meet you, I'm one of them," Ozyorny wrote. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, gay activists Hudson Taylor, right, Founder and Executive Director of Athlete Ally, and board member Robert Smith, left, meet with locals at the Mayak cabaret, the most reputable gay club in Sochi, Russia, host to the 2014 Winter Olympics. Russia adopted a law last year, prohibiting vaguely defined propaganda of non-traditional sexual relations and pedophilia. The legislation makes it illegal to disseminate information to children even if it merely shows that gay people are just like everybody else. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, Andrei Ozerny, left, talks with David Pichler, an American diver and former Sydney Games team captain at the Mayak cabaret, the most reputable gay club in Sochi, Russia, host to the 2014 Winter Olympics. Most of Mayak’s clients shy away from cameras and plead for anonymity. Not so Ozyorny, a 24-year-old Sochi native. Ozyorny, one of Mayak's regulars, has recently done something that he feels proud of and which makes his partner fear for his business and safety. When Sochi's mayor said in an interview last month that there were no gays in Sochi, Ozyorny wrote a letter to the mayor that was published in prominent Russian media. "Nice to meet you, I'm one of them," Ozyorny wrote. (AP Photo/David Goldman)

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In this photo taken Saturday, Feb. 8, 2014, Andrei Sarkisian, second from right, who goes by the stage name of Miss Zhuzha, gets ready backstage before a performance at the Mayak cabaret, the most reputable gay club in Sochi, Russia, host to the 2014 Winter Olympics. Russia adopted a law last year, prohibiting vaguely defined propaganda of non-traditional sexual relations and pedophilia. The legislation makes it illegal to disseminate information to children even if it merely shows that gay people are just like everybody else. (AP Photo/David Goldman)