Resting in the hands of the US Supreme Court:
We have written before about King v. Burwell, the case that will be heard before the US Supreme Court to determine whether or not health insurance subsidies can flow to states that refused to establish state-based marketplaces under the Affordable Care Act.
KFF researchers think more than 13 million people nationally, and about 1 million people in North Carolina, would lose tax credits if the Supreme Court denies subsidies to federal marketplace states. For most of these folks insurance would immediately become unaffordable. This is especially true because prices would most likely spiral upward as younger, healthier enrollees lose coverage.
The Affordable Care Act is a complex formula, created to solve an equally complex problem. While some elements of this formula are not critical to its success, some of them are, such as these subsidies. Thanks to the unwise and ideologically-driven decision to not expand Medicaid, North Carolina already has a gaping hole in coverage that most other states don't, or soon won't. If we lose these subsidies, also thanks to poor judgment on the part of GOP leaders who refused to lift a finger to build a marketplace, our people will suffer the consequences, and so will our healthcare providing network. It's not just a failure of leadership, it's the equivalent of setting up firing squads across the state, without having to worry about being charged with war crimes.