Healthcare Market Dynamics - Obamacare marketplaces enrollment significantly increased, particularly after 2021 due to expanded subsidies [3] - Enrollment more than doubled between 2020 and 2025 [3] - There are now 242 million people enrolled in these marketplaces [4] Red States vs Blue States - Red states experienced a 157% increase in marketplace enrollment, compared to 36% in blue states over the last 3 years [4] - Over 10% of the population in several red states, such as Texas and Utah, are enrolled in the marketplace [4] - Republican congressional districts have almost 8% of people in the marketplaces, while Democratic districts have 63% [6] - Red states use premium tax credits almost twice as frequently as blue states [8] - The average benefit in red states is $580 per month, or $5700 per year [8] - Seven out of ten of the most affected states by potential healthcare cuts will be red states [9] Healthcare Policy & Impact - Undocumented immigrants cannot get healthcare through Medicaid or take advantage of tax credits, they can only go to an emergency room [11] - Only 04% of Medicaid spending is on emergency room subsidies, which includes all Americans, not just undocumented immigrants [12] - Over 40% of hospitals in America lose money, with an even higher percentage of rural hospitals losing money [14]