People can't afford it and with the exchanges drying up, there won't be a vehicle for people to get federal subsidies. Pretty soon states who took federal funds to expand Medicaid will be entirely on their own for the Medicaid enrollees.
Many of those states are already underwater big time with unfunded state worker pension obligations - and courts have ruled that they can't alter the pension contracts.
They're running out of road to kick the can down.
The predicted death spiral is unfolding very quickly.
Sure looks like it.
“Pretty soon states who took federal funds to expand Medicaid will be entirely on their own for the Medicaid enrollees.”
Funding for Expanded Medicaid has nothing to do with the exchanges or whether they even exist.