Federal or state taxes — it's all your money

Mr. Gregoire’s March 31 letter on Medicaid expansion in Virginia contains misleading information based on what I call voodoo economics. He cites The Commonwealth Institute for Fiscal Analysis, a Richmond-based nonprofit for some of his facts. The institute’s analyses are also based on voodoo economics.

To make this as simple as possible, imagine you, as a taxpayer, pay your state taxes out of your left pocket. You pay your Federal taxes out of your right pocket. Increasing the Medicaid program in Virginia by 400,000 people will cause costs to rise significantly and taxpayers will have to bear those additional costs. Mr. Gregoire and The Commonwealth Institute for Fiscal Analysis...