Extremely red states don't care. They won't flip at all. And none of the districts are even remotely competitive. Only the primaries matter.
A cursory look says Wyoming has a population of ~580k and ~340k registered voters. The article says Wyoming has 46k people on ACA. Republicans win landslides in Wyoming (40%-50% margins) and 46k people is 12% of voters max (likely closer to ~4% at risk).
Thanks. So, the upside is saving money, at the expense of alienating poorer voters in (this example) a state where their majority is so big they don't care.
When people don’t have access reliable healthcare, they tend to use even more expensive (for society) options like emergency rooms and grey/black market. People who become disabled or die from lack of healthcare don’t tend to pay much in the way of taxes.
To my knowledge, legal protections against unpaid emergency room bills not leading to credit harm or debt collection exist only in California and New York. Also, emergency rooms are very limited in the care they dispense - they don't dispense chemotherapies.
> Individuals who were unemployed made roughly 2.5 times as many preventable emergency care visits as those who had a job (Figure 3).
> Lack of health insurance coverage was another factor that appeared to play a role in preventable ER visits.
> According to the study, individuals without health insurance had more preventable visits to the ER than those with health insurance (Figure 4).
> This suggests that uninsured individuals may not seek primary care for chronic conditions ahead of an urgent episode or they may rely on emergency rooms for general health care needs.
Congress is likely to flip for many reasons. This is just a drop in the bucket. Places like Wyoming aren't on the table. Republicans are in a jam because nobody can challenge Trump without being primaried.
The real problem for Trump and Republicans is they do great when Trump himself is actually on the ticket. That's his power. Unfortunately for him, he will never be on a ticket ever again. But he still holds considerable influence over primary voters. Primary voters don't win marginal States. Trump is a paper tiger but because of his control over primaries Republicans are trapped.
A cursory look says Wyoming has a population of ~580k and ~340k registered voters. The article says Wyoming has 46k people on ACA. Republicans win landslides in Wyoming (40%-50% margins) and 46k people is 12% of voters max (likely closer to ~4% at risk).