Accountant supermarket manager <a href="https://blindflaneur.com/stmap_71oj3sz.html?lopid.cialis.vardenafil" rel="nofollow">amoxicillin rx 6540</a>  The biggest factor in the change stems from the U.S. Supreme Court verdict last year allowing each state to decide whether to expand the public Medicaid program for the poor under President Barack Obama's healthcare reform law. Republican leaders in nearly half of the nation's 50 states have rejected the expansion.