The only issue with leaving the expenses completely off the federal section in TurboTax is that some states allow for itemized deductions, which the program transfers over from the federal return, even if you don't itemize on federal. For instance, New Jersey allows a deduction for Medical Expenses that exceed 2% of your income, and New York is allowing itemized deductions for the first time this year. So if you're in a state that allows some or all of these expenses, you should still go through the process of entering your deductions on the federal side. If not, then it's okay not to bother.
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