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Governments and private employers are beginning to reap the benefits of this move, but sweeping changes in state and federal policy and adoption of new technologies are needed to make good on its promise.
Ingredients include increased numbers of residents, cultural amenities and tourism. The key is not depending too heavily on office workers.
The state has dropped more than 130,000 of its 500,000 Medicaid beneficiaries since April and about 30 percent of those disenrolled were left uninsured, which could be a bad sign for the rest of the nation.