In the rural area where I live, this is what people voted for. Because I live in Utah, the Medicaid holders won't see much of a change. Those who make too much to qualify for help but not enough to really get ahead are the ones who are most likely to be affected. However, there is at least one new insurance plan entering our market. Perhaps that will help reduce costs. Perhaps not. The insurers we currently have save costs by funneling care into preferred businesses that don't offer service in our area. For instance, all lab work is sent to their facility in Salt Lake. If you don't want to drive the 300 miles to get it done, you will pay full cash price.

I don't see any of the proposed changes helping my community, but at least they won't have the ACA any longer. That is really what they want.