Everytime a state rejects some amount of federal money, for any reasons, I feel like the president should hold a press conference and say, for example "Florida has repeatedly rejected our federal money provided to expand healthcare for low and medium class families in that state. While we want to help people, the state continually rejects the moeny. As a result, instead of letting that money got to waste, we have re-applied it towards our national debt. At least we can reduce that burden on each individual and do something positive with that money. So the next time you cant get affordable medical care in Florida, just remember that we treid to help you but your elected leadership wasn't interested. But at least your share of our national debt has been reduced by maybe a penny."
Eventually people will get the message. Or maybe better yet, other states will start returning their federal money on the principle of fiscal responsibility and lower our debt. Lol, I couldn't even type that with a straight face.