“Last month, in an interview with USA Today, Sebelius predicted that all GOP-controlled legislatures will eventually expand Medicaid in their states, closing a coverage gap that has left 4.8 million poor Americans without coverage. “It not only would bring more people into the health care system, but it would dramatically reduce unpaid medical costs,” she said.” http://thinkprogress.org/health/2014/04/10/3425593/sebelius-3/

It might be said to be fiscally responsible. Imagine.