At the same time, health care becoame the biggest employer in almost 33 percent of counties. One argument for expansion of Medicaid under the Patient Protection and Affordable Care Act in states with income taxes is that the expansion can pay for itself by expanding health-care employment. Kentucky Gov. Steve Beshear cites a study showing that is happening in his state.
"In every state but Hawaii, the health-care category, which includes 'social assistance' jobs such as day care and food bank workers, became the No. 1 source of employment in at least one county," Henderson writes. Stateline's story has an interactive map: here's a screen grab with data for a large Kentucky county. For your own version, click here)