Despite the president's ongoing narrative that Obamacare is failing and no one wants it, more than 4 in 5 Americans signing up for the program this year came from states that helped put Donald Trump into office.
An Associated Press analysis of new figures from the government found that 7.3 million of the 8.8 million consumers signed up so far for next year come from states Trump won in the 2016 presidential election. The four states with the highest number of sign-ups — Florida, Texas, North Carolina and Georgia, accounting for nearly 3.9 million customers — were all Trump states.
Trump supporters are not the only people inhabiting such states, but it is clear that Obama's signature health care law - a thorn in the side of Republicans - benefits red states.
The premium dollars have economic ripple effects, reimbursing hospitals and doctors for services that might otherwise have gone unpaid and written off as bad debt. Also, people with health insurance are better able to manage chronic medical problems, remaining productive, tax-paying members of society.
The Republican tax reform bill signed by Trump earlier this month includes a provision that will nix Obamacare's individual mandate in 2019, which concerns Chris Sloan, an analyst with the consulting firm Avalere Health.
"The real worry for me is what the health plans do," said Sloan. "If they decide that without the mandate it's not worth staying in this market, you could end up with swaths of the country having no insurers."