Sabotaging the ACA

[stpioc]

Indeed:

The Supreme Court’s 2012 decision to allow states to opt out of Medicaid expansion, and the decision by roughly three dozen states not to establish their own exchanges, have created cross-border disparities in coverage. Technical troubles with the federal HealthCare.gov website have depressed signups in many states that rely on it. The political climate in some states also has helped determine whether people enroll.

Missouri and Texas, where opposition to the law is strong, are among states that have enacted tough restrictions on who can serve as “navigators,” or “certified assistance counselors” to guide consumers through the enrollment process. That has frustrated Mona Walls, who runs a small team of enrollment counselors in rural southeastern Missouri.

Deadline Near, Health Signups Show Disparity NYT