This will not deter any of the ACA-haters, of course, but this analysis of the impact of GOP refusals to participate in healthcare expansions is very interesting. North Carolina is one of about 15 red states, Ezra Klein says, that is essentially subsidizing health care expansion in wealthier, blue states by refusing to participate Affordable Care Act measures such as expanding Medicaid and creating a state-wide insurance exchange.
That leaves 15 states who haven’t accepted the Medicaid expansion and haven’t built their own exchange: Alabama, Florida, Georgia, Kansas, Louisiana, Maine, Mississippi, Missouri, Nebraska, North Carolina, Oklahoma, South Carolina, South Dakota, Texas, and Wisconsin. Those states, according to 2013 Census numbers, had about 103 million residents — or roughly a third of the country’s population. If the Supreme Court rules against the Obama administration in King and these states don’t decide to change their stance on Obamacare, then they will be massively subsidizing the other two-thirds of the country. They will be paying for Obamacare and getting nothing for it.