Looks like 23 states have their own exchanges, which probably explains the complete lack of NY and very little CA. I’m guessing these are direct applicants at healthcare.gov.
Liberal or Conservative, if someone says something that confirms your worldview, it seems like there's very little interest in vetting it or thinking critically about it.
Don’t think so, at least the CA one is directly tied to ACA:
“ Covered California is a free service that connects Californians with brand-name health insurance under the Patient Protection and Affordable Care Act.”
Yeah I'm suspicious of this chart (and the Reuters article it's from). I'm pretty sure what's happened is that they're including only applicants and most blue states automatically re-enroll people in the plan they had the previous year. The CMS numbers here don't quite match the ones from Reuters (might just be more up to date) but paint a similar picture if you only look at applicants: https://www.cms.gov/newsroom/fact-sheets/marketplace-2025-open-enrollment-period-report-national-snapshot-0#_ftn2
For example:
State
New/Actively Returning
Auto Re-enroll
Texas
1,077,883
0
Georgia
132,140
1,204,135
California
365,642
1,344,939
Illinois*
117,367
0
*Not sure what's up with Illinois here, total enrollment should be much higher. Might just be that the data is from very early in the open enrollment period (data is from the end of November, enrollment is open through Jan 15). Also states are allowed to set their own open enrollment period, like CA is through Jan 30 - most comparisons of enrollment during the "core" open period are going to miss the last two weeks of CA enrollment entirely.
Also also, definitely read the footnotes on that CMS page - New York for example has its own "Essential Plan Expansion" which covers 1.6 million people (who then don't need to get coverage from the ACA marketplace).
Yes. I'm really curious about this - California for example has what seems like a very low rate given 26% of the population here is enrolled in Medi-CAL and Google says over 1.7 million Californians enrolled in ACA in 2024.
9 states, all red never expanded medicaid in states the 41 states that did, you do not need to join a plan if under a certain income. So all those people are on medicaid not an aca insurer. ANd it is insane they haven't expanded like Florida could expand today and insure like a million low income people. All the states have to do is pay for the distribution, like office work for the state, fed does the medical bills. Be way cheaper than the uninsured end up costing the state in medical bills and raising prices of residents because of it. but over 12 years later they are still just sticking it to Obama, it's their fault they named in "Obamacare" so if a governor ever signs it, they will be attacked for approving Obamacare not the ACA, it's the third rail of rightwing politics.
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u/Zealousideal-Ant9548 4d ago edited 4d ago
Are these direct applications to the Federal exchange or do they include state run exchanges. Iirc, blue states built their own while red didn't.