Before we get too excited about the Supreme Court upholding the Affordable Care Act, let’s consider this: First they upheld the individual mandate (which has no enforceable policy—you can be charged a penalty that you don’t have to pay necessarily.) Second, it struck down the mandate that states have to participate in the Medicaid expansion, which would cover tens of millions more under Medicaid. So if states, and likely most of the Southern states, opt out of expanding Medicaid and face no penalty for doing so, what you now have is the possibility that more poor and working class people are forced into purchasing on the individual market. This is an even bigger win for private insurance companies.
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