Study: Obamacare Repeal Will Cost States Trillions

JM Ashby
Written by JM Ashby

While the human toll of repealing Obamacare will be horrific, so will the hit to state coffers and the larger healthcare industry.

According to a study released by George Washington University, repealing Obamacare will eliminate at least three million jobs and cost states trillions in lost economic activity.

At the same time, ending those provisions could lead to a whopping $1.5 trillion reduction in gross state product from 2019 through 2023, according to the study.

"Repealing key parts of the ACA could trigger massive job losses and a slump in consumer and business spending that would affect all sectors of state economies," said Leighton Ku, director of the Center for Health Policy Research and professor at the Milken Institute School of Public Health at George Washington University.

The expansion of Medicaid is the most significant mechanism at play here.

It's easy to think of affording healthcare to hundreds of thousands of people in the abstract, but doing so also means opening up positions for more doctors and nurses. It means opening new hospitals and offices and employing people to build them. It means hiring janitors, tech support, and even cafeteria workers.

A large prosperous state like New York or California may be able to rearrange the deck of their economies and support the industry if congressional Republicans do the unthinkable, but smaller, poorer states won't be so fortunate. Republicans will destroy them.

It's no mystery why noted piece of shit Senator Tom Cotton came out against repealing Obamacare without replacement yesterday. Repealing the law without a replacement would devastate his home state of Arkansas and he knows it.

  • mnpollio

    This is a real Catch-22. The repeal and devastation should function as a “Come to Jesus” moment for Trump/Republican supporters to wake up and realize they have been had, but then the Republicans have always managed to find a scapegoat to take the heat off of them. It doesn’t have to make sense – they just need warm bodies to sacrifice to their horrid base. Plus – as much as I would love to see people who voted for Trump and the Repugs lose their insurance coverage because of their shoddy reasoning and bigotry – there are also a lot of innocent people who did not support the Repugs that would see their lives severely impacted by this as well, and I don’t believe I want to see them suffer because of their neighbors stupidity. Then again, this could be a moot point about what we want as opposed to what will be.

  • Draxiar

    “…poorer states won’t be so fortunate”
    and those states will be typically conservative being propped up by typically Liberal states too…just as they are now.

  • Tony Lavely

    But that must be a librul think tank making all these dire, unfounded proclaiamations! When will it end? /snark
    Seriously, does anyone think the people in charge *care* about this?

  • Dread_Pirate_Mathius

    Maybe, at some point, we just need to let these states hurt themselves so they’ll learn.

    • muselet

      That’s a pretty theory, but it’s premised on the notion that the leaders of those states are capable of learning.

      As trial lawyers on TV are wont to say, “Objection. Assumes facts not in evidence.”


      • ninjaf

        It’s the voters who have to learn so they will choose new leaders.

        • muselet

          I don’t disagree, but that’s easier said than done. Those voters are as resistant to learning as the Rs they vote for.


          • ninjaf

            They are going to learn the lesson the very hard way.