WASHINGTON (MCT) — Skeptics say the Republican governors who have pledged not to take part in the health care law’s Medicaid expansion are just posturing, and that eventually they will succumb to the lure of federal dollars. They note that several GOP governors initially refused stimulus money on political principle, but eventually accepted it because their states were desperate for help.

“I am confident that, in the end, virtually every state will expand its Medicaid program,” said Ron Pollack, executive director of Families USA, a nonprofit group that advocates for expanded health care coverage. “Millions of people will gain coverage, and states will never have to pay more than a dime on the dollar to make it happen. It is therefore fiscal malpractice for governors to turn down the Medicaid expansion.”