The federal government now finances 90% of the cost of Medicaid expansion, but that doesn’t make it free. A recent report found that Medicaid represents about 29.7% of total state spending in fiscal year 2018. In 2008 it was 20.5%. These numbers will continue to grow, sucking up more of our limited funds.  Thanks to a lack of fiscal discipline from both parties—and the unwillingness of the American people to confront our perilous finances—we are currently running trillion-dollar deficits and the national debt stands at around $22 trillion. We can’t pay for the government we have; expansion will just add to the burden of future generations.