Why do the poor and uninsured refuse to sign up for Obamacare?

[Coyote_Bandit]

192. ACA is federal law with

the expansion of state Medicaid programs almost entirely funded by federal tax dollars.

This raises an issue of equal protection under the Constitution because poor people in one state are treated differently than poor people in another state. That would be ok if we were not talkng about a federal law primarily funded by federal tax dollars.

The US Supreme Court decides cases on the narrowest possible issues and they have not been presented with any cases challenging ACA on an equal protection basis.

Somebody in DC needs to grow a spine and insist that all our nations poor people have access to the same healthcare options regardless of whether they reside in a red state (opted out) or ablue state.(opted in).

Blaming individual states is a cop out. If ACA were properly drafted, litigated and enforced then red states would not have the ability to opt out.

Maybe some legal genius that works for a civil liberty group with resources to pursue clients and long-term litigation will figure this out and have both the skill and the guts to pursue it.