It’s a remarkable political turnabout in North Carolina, sure to be analyzed in the dozen states that have yet to accept the federal government’s offer to cover people who make too much to be insured by traditional Medicaid but too little to receive subsidized private insurance. “If there’s a person in the state of North Carolina that has spoken out against Medicaid expansion more than I have, I’d like to meet that person,” Senate leader Phil Berger said when he sought to explain his reversal at a news conference in May. Republicans say North Carolina Medicaid spending is now largely under control and they don’t think Congress will increase the state’s share of the cost beyond 10%.