I just asked my Congress Critter the same basic question. Why did he vote to cut Medicaid while cutting taxes for billionaires. Especially considering a larger number of constituents live in Virginia's Northern Neck. The Northern Neck is the eastern portion of the state between the Potomac and the Rappahannock Rivers. Culturally it's similar to the Thumb in Michigan. An area that relies heavily on farming and subsidies like Medicaid. That's essentially his back yard.
I don't expect to hear from him