States that will be hardest hit if ACA subsidies lapse

[LogDog75]

If Congress doesn't extend the ACA subsidies health insurance premiums under the ACA will increase dramatically. Those using the ACA can use Medicaid but only in those states that took advantage of expanding Medicaid under the ACA of 2010 and the 2021 American Rescue Act. But not all states expanded Medicaid and now people who rely upon the ACA subsidies will see their ACA premiums more than double. Citizens in 10 states will be hardest hit because they did not expand Medicaid. Below is the list of states and the number of people enrolled in the ACA subsidies and see what they all have in common.


Alabama: 456,972 enrollees
Florida: 4,565,216 enrollees
Georgia: 1,475,623 enrollees
Mississippi: 322,788 enrollees
North Carolina: 924,168 enrollees
South Carolina: 608,325 enrollees
Tennessee: 615,828 enrollees
Texas: 3,814,112 enrollees
Utah: 410,339 enrollees
Wyoming: 45,107 enrollees
https://www.msn.com/en-us/money/retirement/here-are-the-states-that-will-be-hit-hardest-if-aca-subsidies-lapse-in-2026/ar-AA1TcjUf?ocid=hpmsn&cvid=766f1d729fc44fc083142bd125a5592b&ei=21

All are republican controlled states.

Why republicans don't believe in taking care of their citizens is beyond me.

[piddyprints]

1. Their citizens vote for them.

There is such a level of ignorance about how government works that all you have to say is that the Democrats did it, and they will continue to vote for Republicans. Yes, I live in a red state. It is heartbreaking. I've tried talking to some of them but they just flat out down't believe me. Oh yeah, Fox "news" runs on most TVs in local businesses, even the gym.

The infrastructure project that has been ongoing for a few years now has a huge sign with the governor's name on it, not President Biden's. And everyone believes their reps and governor made it so.

[yardwork]

10. A million people in my state of N.C. will lost health insurance.

We have a Democratic governor and attorney general, but the Republicans seized control of the state legislature in 2010. (Because voters were told to be angry about the ACA.) The Republicans seized control majority in our state legislature gerrymandered NC to the point where they hold a super majority, even though the state is split evenly between Democrats and Republicans.

The N.C. GOP was forced to redraw the maps but the Supreme Court overturned that, so we're back to one state rule. Not democratic at all.

[OldBaldy1701E]

20. They need to be sued again and again. (n/t)

[yardwork]

21. The N.C. state Supreme Court and SCOTUS is in the bag for them.

[RetiredParatrooper]

31. I'm in NC, and I agree

My statehouse guy (a Rep) was at the polling precinct last November, and was doing a little last minute campaigning (legally - didn't break the rules) and was talking to folks in line. When he got to me and my fam, I told him flat out that:

1. The GOP in it's current form is a criminal enterprise and should be loudly proclaimed as such.

2. I am far more dialed in to politics than the regular voter so he should talk to some of the others folks there.

[yardwork]

34. Welcome to DU and welcome to another North Carolinian!

[calimary]

35. Welcome to DU, RetiredParatrooper!

I’d say I love your first statement, but that might sound like that’s where the admiration ends. I appreciate your second statement too, for its sound follow-through advice. We should be talking to everybody we get a chance to.

[OldBaldy1701E]

53. Make them own it.

Make them decide this way over and over.

Don't let them win because we don't want to put that much effort into it.

Make them eat their position so that everyone can see how they operate.

[travelingthrulife]

49. Somehow we must put Fox News and then rest of these right wing liars out of business.

They ought not to be able to lie 24/7.

[31st Street Bridge]

52. The Fox lie machine must be shut down completely

It destroys America daily.

[CrispyQ]

59. I understand why cable isn't regulated by the FCC,

but it seems an exception to stations that call themselves "NEWS" should be made. It's just wrong that you can knowing lie & call yourself a news station. Or that you can ignore real & consequential stories cuz they don't fit your narrative.

I was talking with some right wing relatives who couldn't defend their positions & they ended the conversation by saying, "Well, we all have our own sources so we'll just have to agree to disagree." I responded, "Except my sources have never had to pay out three quarters of a billion dollars for lying to their audience."

Remind right wingers of that every chance you get, especially when asking an establishment to change the channel. "You know Fox News had to pay three quarters of a BILLION dollars for lying to their audience. Can you switch to something more palatable, please?"

[CrispyQ]

57. There are several stories of Trump replacing signs with Biden's name & putting new ones with his name,

even though he strenuously opposed the infrastructure bill. He's such a shit.

May the universe grace Earth with a tiny bit of undeserved compassion & take this fucker before midnight tomorrow. We want to start 2026 fresh.

[kerouac2]

2. And they will blame Obama, Biden and dems

As always

[johnnyfins]

4. And these are reasons why I am finding it

very difficult to have any sympathy for these people.

[Whiskeytide]

26. I suspect a large percentage of those enrolled in the ACA - even in red states - vote Democratic. No state ...

… electorate is a monolith. We should have a great deal of sympathy for those folks.

[ShazzieB]

37. I agree.

My late sister, who didn't have a political affiliation but was very conservative, told me and everyone else she knew that she and her husband didn't sign up for an insurance plan under the ACA because it was "too expensive." Curious, I asked her how much it would have cost them. It turned out that she had no idea because she had never bothered to check out the ACA portal for out state! I don't think her husbsnd checked it, either. He evidently just decided it cost too much and told her so, and she took his word for it. They were still uninsured when she died.

It kind of makes me wonder how many other MAGAs did the same thing.

[NH Ethylene]

3. Watch him propose to fund ACA only for red states.

He is so blatant I wouldn't put it past him.

[gristy]

14. Yes, I think he will do this too.

[CrispyQ]

60. If SCOUTS lets that fly then the UNITED states is over. -nt

[Lovie777]

5. Republicans don't give a shit about...

their constituents.

[mitch96]

8. Sounds like putin and his people...He does not care how many die.. Just like these red states and their people..

but, But, BUT!!!!! They "owned" the Libs...uff what assholes..
m

[haele]

16. They don't care about the constituents who don't have money.

Republicans only care about consumers who can pay prices.
Republicans only care about costs and profits to be made in the rather simplistic, rigged game they want to play.
They don't care about any actual value, sustainability, or real, tangible life outside their game.

[travelingthrulife]

50. Wonder what they will do when no one has money to buy their shit?

Between AI taking jobs and the death of our government...

[haele]

67. Very few of them have lived or run a business in the Real World

The majority came from families with money or connections; upper "middle class" professionals or outright wealthy. I would almost say none of them actually worked, if they did work, it was more for the adventure or experience, not for actual survival.
Musk and Theil, Bezos, Zuckerberg, Altman, Ellison, the others...all had fallback options if they failed throughout their lives. Whether it was government subsidies or the gift of BS-ing idiots with lots of money.
And they collect parasitic acolytes to support their curation of reality. Because - Money begets money.
They never had to considered the majority of people who couldn't or didn't want to join their "vision". Or if they did consider them, those people are useless and not worthy.

To the Tech Bros, the True Believers, the Investor/Money Manager types, people are fungible - consumers, resources, pawns. Basically, if you don't have the money or power base to be the undisputed hero of your own story, you're just an NPC...so no, they don't realize what will happen when large amounts of people can no longer afford to buy not only shitty products, they can't afford the basics - food, shelter, clothing...
When the world becomes a wasteland.

[ToxMarz]

55. That's why they are so obsessed with forced birth. No contraception.

It's cheaper for them to replace than to repair.

[UTUSN]

6. K&R

[modrepub]

7. Job Loses Gonna Hurt

Healthcare is one of the better job generators. Once the insurance payments dry up, healthcare workers are going to lose jobs. And I suspect cuts will be most pronounced in low density population areas.

What a lot of folks miss is that the ACA is really a job creation program.

[The Madcap]

11. Their goal is to remove the expendables

And to work the needed until they die. No more retirements except for the very wealthy.

[CrispyQ]

62. They want a world where only the rich deserve a pleasant life & the rest of us suffer what we must to provide for them.

I have deep loathing for the WE FOOL YOU level. Evil fuckers.

[J_William_Ryan]

9. "Why republicans don't believe in taking care of their citizens is beyond me."

Because they don’t believe in government.

Because they’re fundamentally fascists and social Darwinists.

And because they believe – incorrectly – that programs such as the ACA ‘foster dependence’ on government; affording health insurance is like having a nice house or car, if you can’t afford it, you don’t deserve it, if you can’t afford health insurance, it’s your fault, it’s neither the role nor responsibility of government to save you from your faults and failures.

This is one of countless reasons why Republicans are unfit to govern; why Republicans are incapable of sound public policy and responsible governance.

[Pluvious]

13. I would add...

These Republicans perceive this demographic which needs these subsidies are unlikely to make campaign contributions to them

[CrispyQ]

63. Getting big money out of our electoral process would solve many of our problems.

Voting has become a profit making industry, & the ones who can change that, are a subset of those who benefit from it. It's fucking killing us & the planet!!

[stage left]

15. Hear, bloody, hear

If you're not rich, you don't matter to Republicans.

[surfered]

12. And many of these same states declined the expansion of Medicaid under the ACA

[DBoon]

17. Taking care of your citizens is derided as the "nanny state"

Rpublicans instead believe in the violent aĺcoholic "daddy state"

[calimary]

36. That's a good comeback.

And why not? What else do they say besides 437 versions of “no new taxes”?

[CrispyQ]

65. You forgot no regulation. That's nanny state, too.

But they want to track our periods & check in our panties before letting us use the restroom to pee.

[CrispyQ]

64. When the reality is that the citizens are one of a nation's most prized resources!

But the only ones we value are those with money. The rest of us have been pigeonholed from birth. That's not to say you can't break out, but the system was built to favor those at the top. We've made a lot of progress in 250 years & that orange piece of shit has done so much damage in one year it's staggering. Throughout the day, I vacillate from a sick feeling in my gut to rage. It's exhausting.

[patphil]

18. If this doesn't get fixed, those states are about to get hit with a huge dose of voter backlash.

The comment "all are republican controlled states" may not be true by this time next year.

[Nasruddin]

19. No

Either
- Kamala would be/have been worse
or
- Yay! This is what I voted for! Beat me harder!

[COL Mustard]

24. Alabama will never vote Democratic again...

Unless the Republicans go completely off the rails in Alabama voters' eyes. And I can't imagine what it would take to switch them back. It wouldn't be pretty, that's for sure.

[BurnDoubt]

22. Anyone have a breakdown as to...

how that translates to resources made available to KKKristi’s Hobby?
Or, maybe how many Bombs For Venezuela?
WINNING!!!!!

[COL Mustard]

23. All are former members of the Confederacy....

Except Utah and Wyoming, which weren't states then. Kind of makes me wonder which side they would have been on in 1861.

[Wednesdays]

58. And ALL of the former Confederate states

Except for Arkansas and Virginia.

Doubt it's a coincidence.

[Envirogal]

25. Red state takers

It’s amazing that Texas now has a surplus in revenue (from poaching California’s wealthy and their industries) yet is near the bottom of services it provides its citizens.

Easy to have a surplus when you don’t offer services to make the state run or help the poorest and working class.

[LNM]

27. Simple. They hate Obama.

They can’t abide anything to do with him even if it screws their constituents.

[Faux pas]

28. Tsk tsk

you get what you vote for. Sowing and reaping.

[kimbutgar]

29. Every state that went for orange piggy in 2024 !

Why don’t I feel sympathy for them now?

[Unrepentant Fenian]

30. Their getting what they voted for! nt

[Martin68]

32. Let's see them try to blame the Democrats for that.

[calimary]

40. That's exactly what they'll try to do.

I hope our Dems find the cojones to fight this. Somehow.

[Bengus81]

45. They can try as usual but there has been way to much light on the expiring subsidies

They know exactly who's at fault,but they can bury their heads if they wish. I don't give a shit.

[Buddyzbuddy]

33. Make sure to thank your local Republican politician next November.

[Golfnbrew]

38. And sadly...

Some of us stuck in a red state, need not just the ACA, but the subsidies, to help us afford health insurance.

[GoodRaisin]

39. Because Republicans are selfish and greedy

is why they don’t want to take care of citizens.

[calimary]

41. And I don't know how to spin this any other way.

C’mon, Dems! Get loud and nasty and unrelenting about this! Give America reason to stand with you!!!

[CrispyQ]

68. They are a failure at marketing. It's maddening!

Ken Martin is probably the most unmemorable DNC chair we've ever had! I associate his name with a plea for money & that is all.

[Kablooie]

42. Problem is that they will all believe that the Democrats did this to them.

Republicans and Fox News will tell them Democrats are to blame and they won’t listen to anything else.

[Blue_Roses]

43. Exactly.

It's always their excuse

[llmart]

44. What they all have in common...

most of them are in the South. Or, most of them are also in the list of least educated populace. Or, most of them are in the list of poorest. See how all that goes hand in hand with red states in general?

[Bengus81]

46. Sadly there's no "if" to it

[JustAnotherGen]

47. These subsidies

Are gone on Thursday Morning.

[mwb970]

48. I say tough noogies, red states.

Those people hate "Obamacare" and voted against their own interests in a truly spectacular manner. Now they are Finding Out. Am I supposed to feel sorry for them for bringing this on themselves? That's a heavy lift.

[Abstractartist]

51. Once again

Democrats are left to clean up the Republican shit. This list is all right wing.

[CrispyQ]

54. Blue state republicans should be asked,

if you think republicans are so good at governance, why don't you move to a red state?

[CapnSteve]

56. More fuel for the blue tsunami in Texas...

Wow! 3.8 million. Add this to the Trump economy and his pedophile past (and present), Texas will turn blue in 2026.

No wonder so many Texas republicans are heading for the exits.

Blue Tsunami in 2026.
Impeachment in 2027.
In hospice, broken, and broke 2028.

[Bluetus]

61. If?

What are you talking about, "if"?

They have already lapsed. We are already through most of the enrollment period. Policies lapse tomorrow and there won't be any action on this for at least a month

[RazorbackExpat]

66. I'm surprised Arkansas isn't on this list

But the state was fucked over when Gov. Hutchinson gave the finger to ACA subsidies to the state for no goddam reason other than the fact that those subsidies helped people at the low end of the economic spectrum.

Just another reason why I hate the Republican Party

[duckworth969]

69. Red State Masochists

Whip me harder Daddy Chump 🙄