The success — or failure — of ObamaCare is resting on three large states: California, Texas and Florida, writes Jennifer Haberkorn in POLITICO. With more than one-third of the 46 million uninsured Americans, enrollment rates for the Affordable Care Act in those three states could affect national enrollment goals.
Seven million is the estimated sign-up goal for the first year; that has become the leading metric for the Obama administration. Without California, Texas and Florida, those numbers will be difficult, if not impossible to achieve.
The majority of uninsured in the big three raise their weight in the healthcare debate, much like “swing states” in a presidential race.
This is why President Barack Obama, Health and Human Services Secretary Kathleen Sebelius and third party groups like Enroll America are spending time and resources in Texas and Florida states with not only large uninsured populations but also resistance from local Republican-led governments, like Gov. Rick Scott.
On the other hand, California, with money, resources and a friendlier view of ObamaCare, is seen as the region most aggressively implementing the Affordable Care Act.
Larger states not only get the most attention, but they also have competitive insurance markets, which should help keep ObamaCare rates lower and engage the uninsured.