by Max Brantley
Taxpayers across the country are on the hook for Medicaid expansion costs, regardless of whether their state government decides to opt in or out given that federal income taxes are used to pay for the program. The only difference is whether or not taxpayers in a given state receive anything in return. For example, taxpayers in Vermont stand to receive an unlimited return on investment for every $1 they attribute to Medicaid, as the savings the Vermont state government stands to receive as a result of increased federal funding outweighs its citizens’ share of the federal income taxes used to fund the expansion in other states. On the flip side, Mississippi taxpayers are giving up $8.03 in federal funding for every dollar they are currently set to pay for Medicaid expansion in other states.