The initiative for Medicaid expansion in Missouri passed. Too damn close.

State of Missouri – Primary Election, August 04, 2020
Unofficial Results
as of 8/5/2020 6:34:43 AM

Constitutional Amendment No. 2 [Medicaid expansion] 3575 of 3575 Precincts Reported

YES 672,967 53.250%
NO 590,809 46.750%

Total Votes: 1,263,776

[emphasis added]

State of Missouri – Primary Election, August 04, 2020
Unofficial Results
as of 8/5/2020 7:21:08 AM

Constitutional Amendment No. 2 3575 of 3575 Precincts Reported

County YES NO

Boone 23,697 11,891
Clay 26,467 18,008
Greene 27,772 25,343
Jackson 41,233 25,528
Kansas City 49,350 6,938
Platte 12,567 7,810
St. Charles 40,363 38,171
St. Louis 181,501 67,906
St. Louis City 65,214 8,556

Iron 64 70

[emphasis added]

Different takes:

Blue Girl the Tenacious Teacher @BGinKC
Congratulations out-state sister-fuckers. Y’all wouldn’t vote to keep your local health centers open, you just figured you’d keep doing what you’ve been doing…coming to the city, showing up in the ER knowing we have to treat them because of EMTALA.

So we did it for you.
6:08 AM · Aug 5, 2020 from Kansas City, MO

Blue Girl grew up in rural Missouri, comes from a family with generations involved in farming, served in the military, and currently lives in Kansas City.

The Emergency Medical Treatment and Active Labor Act (EMTALA) was passed by the US Congress in 1986 as part of the Consolidated Omnibus Reconciliation Act (COBRA), much of which dealt with Medicare issues. The law’s initial intent was to ensure patient access to emergency medical care and to prevent the practice of patient dumping, in which uninsured patients were transferred, solely for financial reasons, from private to public hospitals without consideration of their medical condition or stability for the transfer….

And:

Lindsey Simmons @LynzforCongress
I’ve seen a lot of commentary from my fellow Missourians living in STL and KC discussing “rural Missouri voting against its interest.”

Here’s the thing.

Y’all have to stop talking about us like we’re stupid. You’ve got to leave your bubble + come stand with us.
6:11 AM · Aug 5, 2020

Lindsey Simmons grew up in rural Missouri, comes from a family with generations involved in farming, is the spouse of an individual currently serving active duty in the military, and lives in rural Missouri.

Lindsey Simmons is the Democratic Party nominee running in the 4th Congressional District.

Still, the vote on Amendment 2 was too damn close. Ya’ll.