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Yes it would need expansion and creation for many states. Example from the state I am currently in (Tennessee). TennCare Medicaid: https://www.tn.gov/tenncare/members-applicants/eligibility/tenncare-medicaid.html
Edit for more info: 78% federal funding, 22% state funded.
Federal taxes collected from Tennessee in 2020: $67 Billion.
Medicaid budget total is $18.6B including the fed funding. That covers 1.5 million people currently. 5.3 million total population now.
So assuming federal taxes didn't increase from 2020 to 2025) Tennessee could cover 100% of their population with said insurance and have ~10 plus billion left for other programs.
Note also prices usually decrease when you scale projects, especially when you already had coverage for the elderly, pregnant, and typically unhealthy covered under the original costs.
I don't care about what they can or should do, UNTIL AFTER they do it I don't support a taxation boycott.