Stephanopoulos, Nov. 3: What do you make of that fact that so many Kentuckians are signing up? And does that tell you that this program can be a success?

Paul: Well, nearly 90 percent of them are signing up for Medicaid, free health insurance from the government. My concern is not that we shouldn't help people. I do want to help these people to get insurance. But there is going to be a cost.

And in my state, we have a lot of rural hospitals that teeter in the balance. My fear is that these hospitals may be bankrupt by overwhelming them with Medicaid patients.