Sentimental ideation is not a reason to defeat the Medicaid expansion in a state.

...In states (click here) that do not implement the expansion (such as Oklahoma), Medicaid eligibility for adults will remain quite limited, as shown by the dark blue shading in Figure 1. As of January 2014, in Oklahoma, Medicaid eligibility for non-disabled adults is limited to parents with incomes below 48% of poverty, or about $11,300 a year for a family of four, and adults without dependent children remain ineligible regardless of their income. All states previously expanded eligibility for children to higher levels than adults through Medicaid and the Children’s Health Insurance Program (CHIP), and in Oklahoma, children with family incomes up to 210% of poverty (about $49,500 for a family of four) are eligible for Medicaid or CHIP. As was the case before the ACA, undocumented immigrants remain ineligible to enroll in Medicaid, and recent lawfully residing immigrants are subject to certain Medicaid eligibility restrictions.'

The uninsured in Oklahoma can be found here as of 2014 (click here). Kindly recall from the graph above those in Oklahoma insured by Medicaid is grossly reduced compared to states with Medicaid expansion. The report of the uninsured as of 2014 in Oklahoma also states the majority is within its minority populations of African Americans and Hispanic.

African Americans or as per the report, The Blacks are 24.5 percent uninsured and the Hispanics are 45.1 percent of the uninsured. 

Under the ACA, people with incomes between 100% and 400% of poverty may be eligible for premium tax credits when they purchase coverage in a Marketplace, as indicated by the bright blue shading in Figure 1. The amount of the tax credit is based on income and the cost of insurance, and tax credits are only available to people who are not eligible for other coverage, such as Medicaid/CHIP, Medicare, or employer coverage, and who are citizens or lawfully-present immigrants. Citizens and lawfully-present immigrants with incomes above 400% of poverty can purchase unsubsidized coverage through the Marketplace. Because the ACA envisioned low-income people receiving coverage through Medicaid, people below poverty are not eligible for Marketplace subsidies. Thus, some adults in Oklahoma fall into a “coverage gap” of earning too much to qualify for Medicaid but not enough to qualify for premium tax credits, as shown by the orange shading in Figure 1. People in the coverage gap are ineligible for financial assistance under the ACA, while people with higher incomes are eligible for tax credits to purchase coverage....

June 20, 2012
 
Affordable Care Act Promises Relief (click here) from Tragedy of Premature Deaths; Loss of Reform Would Mean Continuing Nightmare for Many American Families Stakes in Debate over "Obamacare" for Too Many Americans: Life or Death....

...The number of deaths nationally and in every state are detailed in a report released today by the consumer advocacy organization Families USA, which found that, in 2010, more than 26,000 Americans between the ages of 25 and 64 died prematurely because they did not have health coverage. For Oklahoma, those national figures translate to 452, or approximately nine Oklahomans every week....

Considering the statistics related to the Medicaid Expansion for Oklahoma, that means 6 to 7 of the weekly uninsured dead are minority Americans. The refusal of the Medicaid Expansion in Oklahoma is definitely racist. That reality probably is reflected in most of the states declining the Medicaid Expansion. The denial of any state of the Medicaid Expansion can be litigated when realizing how very racist the state is in respect to healthcare for all their citizens and it's fatal reality.