rural areas of south dakota? again, representative susan wismer first. wismer: well, the first thing we could do is expand medicaid. we are passing on the $5 million a week investment in our in state health care institution. i will stay away from the rest of the medicaid expansion discussion assuming we will talk about that later. but it is having severe affects on the health of all of our institutions because windy affordable care act was passed, it was passed with the assumption that there would be far fewer patients that did not have insurance. there would be a far less degree of uncompensated care. because we still do still have 48,000 non covered residence hospitals still have the same degree of non