Greg Sargent, Washington Post
Republican governors who are threatening to opt out of the Medicaid expansion "” which could deprive millions of insurance "” have justified it by claiming that opting in could crush their state budgets. Their real motive may be ideological "” they are striking a blow against Obama's signature initiative and the welfare state in general "” but the cost argument gives them a seemingly pragmatic rationale.But what if opting in to the Medicaid expansion could actually save states money over the long term?