Shrewd means of forcing those who cannot support themselves & who rely on Medicaid and/or other state/federal programs to leave their state if they can. Similar in concept to Fidel Castro emptying his prisons of the criminally insane, and mentally infirm during the Mariel Boatlift of '80.
Get rid of many of the lazy libs, and create a redder state. After all, anyone who must rely on handouts shouldn't be permitted to vote and couldn't possibly be a "real" conservative.
Typical rightwing alternatives to receiving government-provided healthcare coverage: Prayer, church, charity, friends, family, and relatives. Or if all else fails, then maybe as Sue Lowdon suggested several yeas ago:
http://www.youtube.com/watch?v=qZezfjWox5s