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“When Claudia first learned about the Affordable Care Act, she was hopeful that the law would portend what its name implies.

But a few months ago, she arrived at a community meeting at the Irving public library to find that because she makes less than the federal poverty level, she does not qualify for the federal government’s subsidies to buy insurance. (The subsidies to buy insurance on the newly created exchanges only go to people who make 100 percent of the federal poverty level or more.) Without the subsidy, the family’s premium for a mid-level “silver” health plan on the exchange would be roughly $5,000 per year.

If she lived in, say, California or Kentucky, Claudia could simply enroll in Medicaid. The Affordable Care Act provided for states to expand the program to include low-income adults — a demographic that in most states has been traditionally ineligible for Medicaid, which was designed for children and pregnant women.

But in its June 2012 Obamacare decision, the Supreme Court ruled that states aren’t obligated to expand Medicaid, and Texas is currently one of the 25 states that have chosen not to expand the program.”

To continue reading, visit TheAtlantic.com