Nov 28, 2017

Repealing individual mandate would hit red states hardest

Emergency care center paramedic Michael Gilbert cleans equipment in an exam room at Grady Memorial Hospital, in Atlanta. Photo: David Goldman / AP

Getting rid of the ACA's individual mandate would cause premiums to spike across the country, but would have an outsized impact in a handful of largely rural, largely conservative states, including in Alaska, Iowa, Missouri, Nebraska, Nevada and Wyoming, according to a Los Angeles Times analysis of data from the Kaiser Family Foundation.

Reality check: The effects here are no different from the effects of "skinny repeal" — the last-ditch repeal-and-replace effort that GOP senators insisted they would only vote for if they had assurances it would never become law.

Skinny repeal would have repealed the individual mandate; so would the Senate's tax overhaul. The policy is essentially the same and the effects are essentially the same. The only thing that's changed is lawmakers' willingness to let it happen.

  • Those states the Times identifies would take an especially big hit because they're heavily rural and already suffer from limited competition and high premiums. In other words, they're already the markets that insurers are least attracted to, and they would only become less attractive if their healthiest residents start to leave the risk pool.
  • "Markets where there is already little choice and high premiums are especially vulnerable … Rural areas could be especially hard hit," Kaiser's Larry Levitt told the paper.

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Trump considers quarantine for states near epicenter of U.S. coronavirus outbreak

President Trump speaks to the press on March 28 in Washington, DC. Photo: Sarah Silbiger/Getty Images

President Trump said on Saturday he is considering a "short term" quarantine of New York, New Jersey and parts of Connecticut — areas congruent with the New York metro area, the epicenter of the novel coronavirus in the U.S.

Reality check: These states have already taken steps to quarantine residents and promote social distancing to combat COVID-19. The governors of New York and New Jersey issued statewide stay-at-home orders last week, and non-essential businesses in Connecticut were ordered to close as of this Monday.

New York is latest state to delay primary due to coronavirus

Photo: Barbara Davidson/Getty Images

New York — the epicenter of the coronavirus outbreak in the U.S. — has moved its presidential primary to June 23, Gov. Andrew Cuomo said on Saturday.

Why it matters: 23 other states and the District of Columbia haven't held primaries yet. The White House is recommending, for now, that Americans practice social distancing and gather in groups of no more than 10 people — while many states have issued stay-at-home orders.

Go deeperArrowUpdated 30 mins ago - Politics & Policy

Coronavirus dashboard

Illustration: Sarah Grillo/Axios

  1. Global: Total confirmed cases as of 1 p.m. ET: 622,450 — Total deaths: 28,794 — Total recoveries: 135,779.
  2. U.S.: Leads the world in cases. Total confirmed cases as of 11 a.m. ET: 105,573 — Total deaths: 1,711 — Total recoveries: 895.
  3. Federal government latest: President Trump is reportedly considering a quarantine on New York, parts of New Jersey and Connecticut. He signed the $2 trillion coronavirus stimulus bill to provide businesses and U.S. workers economic relief.
  4. State updates: A group of Midwestern swing voters that supported President Trump's handling of the coronavirus less than two weeks ago is balking at his call for the U.S. to be "opened up" by Easter. Alaska is latest state to issue stay-at-home order — New York is trying to nearly triple its hospital capacity in less than a month.
  5. World updates: Italy reported 969 coronavirus deaths on Friday, the country's deadliest day. In Spain, over 1,300 people were confirmed dead between Thursday to Saturday.
  6. 🚀 Space updates: OneWeb filed for bankruptcy amid the novel coronavirus pandemic.
  7. What should I do? Answers about the virus from Axios expertsWhat to know about social distancing.
  8. Other resources: CDC on how to avoid the virus, what to do if you get it.

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