What is the claim of the OP ? That an entire Red State would be damaged by the loss of cost sharing payments ? How does that work ? What I am reading is that when those cost sharing payments stop, everyone who needs them will be looking somehere else get covered. Red or Blue. If the Red State governments are not making up the differences, then what do they care ? A disproportionate number of minorities live in poverty and can be expected to be getting those payments. If that is the case, then they (the minorities) will suffer. Why do the racist red states think that is a bad thing ? Letting minorities die fast helps them out....right ? Can the OP please further clarify the contention of the OP.