Saith the Hendersonville daily:

The decision by Gov. Pat McCrory and Republican lawmakers not to expand Medicaid coverage through the Affordable Care Act will cost North Carolina $51 billion in lost federal money and thousands of jobs over the next decade.

First of all, the federal money is not lost. It has yet to materialize, and if and when it does, it will be fiat. Also missing from the story is an analysis of the triple bottom line. That is, what impact do skyrocketing national debt, centralization of markets, heightened bureaucracy, and all that jazz have on the sustainability of wealth creation for quality of life and all those rockabillies?