I was told by a retired teacher who has a relative that has been a state congressman and now has another job in Jeff City that the medicaid expansion will blow up the state's budget forever. I hadn't heard this before the vote this time but she says states will have to match the feds money dollar for dollar for this expansion and it would cost Missouri about $300 million a year. That money will have to come from some where and it will cause more cuts to education and many other programs in the state.