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Approximately 74 million people now use Medicaid in the U.S. But there is not one Medicaid rather, a patchwork of policies across states exists, with differences even at the neighborhood level, as Jamila Michener recounts in her new book, "Fragmented Democracy: Medicaid, Federalism, and Unequal Politics." Michener is an assistant professor of government in the College of Arts & Sciences.