To The Editor: It looks like our state government has pulled a big April Fools’ Day joke on all of us, especially the approximately 230,000 Missourians who would have benefited from Medicaid expansion and the additional health care the measure was to provide them. In 2020, Amendment 2/Medicaid expansion was passed statewide by a clear 53 percent majority. But here is the joke: Our Republican legislators refused to budget the needed funding even though much would be covered by federal money.