NCPA - National Center for Policy Analysis

Why Do States Expand Medicaid?

November 16, 2015

Why did numerous states refuse to expand Medicaid? A recent report sheds light on why many states have turned down Medicaid expansion funds, while other states eagerly gorge at the public trough. For starters, states that have declined to expand Medicaid tend to be fiscally conservative, with lower state taxes and lower state spending. By contrast, expansion states tax their residents more -- and spend more. In addition, states that turned down Medicaid expansion have more economic freedom and lower unemployment.


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