system
A chat on subreddit /r/PoliticalCompassMemes
human
Medicaid expansion is medicaid expansion. As far as I know there is no sunsetting of it. Of course, sociopaths in congress can always cut medicaid as they've attempted to many times, but that's regardless. 

Double regardless, having more hospitals open for as many years as you can possibly have them open is better than not having them open.

Medicaid expansion has helped food insecurity, lowered crime, and helped health outcomes. One of the few if only accomplishments of the Obama administration. There is no moral or good reason to deny your state it other than owning the libs and being an ideologue dipshit.
gpt
You're right. I had to look it up. That might have been something different, as I conflated Medicare and Medicaid above.       
          
Medicaid, it turns out, has a Federal Match Percentage (FMP) where the Federal government matches a certain percentage of what the state pays. It starts basically at a 1:1 match, but goes as high as 1:2.85 for poorer states.         
 
             
As it stands, Medicaid is around 20%-30% of the budget of states who haven't expanded Medicaid. So it's absolutely a "money" problem that's being framed as an "ideology" problem.