Because they think "Taxation is Theft" to such a hyperbolic and broad-brushed degree that they will launch on tirades to reduce them regardless of what effects they will have, despite the fact that they no doubt benefit from what those taxes pay for. Most public health recipients regarding Medicaid are in states like TX, AR, TN, MS, AZ, NJ, NC & NY. With the exception of NJ &NY, these are red states.