7/24/2009--Tacoma, WA, USA..Terri Freed, left, a registered nurse from the Lakewood Family Medical Clinic in Lakewood, WASH., south of Tacoma, meets with expectant mother Martha Lopez, 27, in her home to provide prenatal care and education. The clinic is part of the Community Health Care network, a non-profit healthcare provider for low income residents of Washington State...Washington State, a Democratic liberal stronghold, has long been a proponent of the widest possible public access to health care. But state officials there are among those around the country who warn that the direction health care reform seems to be taking among the Democrats in Washington, D.C., could impose new strain on state-funded Medicaid services, with no new federal money to help ease the burden. Here's an on-the-ground look at how Medicaid is already spread thin in Washington State -- and what officials there worry might happen under if Congress passes health care legislation in any of its current forms....©2009 Stuart Isett. All rights reserved.