There are other places where ideology trumps sanity - communist countries like North Korea, for example. Today's Republican party has by and large become yet another example of so trapped in their own version of political correctness that they will very likely reward Democrats and blue states while punishing themselves:
Republicans want to generously subsidize Obamacare in blue states
Republicans want to generously subsidize Obamacare in blue states
The Wall Street Journal reports that "Congressional Republicans say they won't move to preserve consumers' health insurance tax credits if the Supreme Court strikes them down."
Another way of saying this: Congressional Republicans say they will spend billions of dollars generously subsidizing blue states if the Supreme Court rules for the plaintiffs in King v. Burwell.
Or yet another way of saying this: the GOP's plan to stop Obamacare has slowly become a plan to rip themselves off. It would end not with Obamacare's repeal, but with a terrible financial deal for red states.
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Rejecting the Medicaid expansion, however, doesn't exempt a state from the taxes and spending cuts Obamacare uses to fund the Medicaid expansion. A September analysis from McClatchy estimated that "if the 23 states that have rejected expanding Medicaid under the 2010 health care law continue to do so for the next eight years, they’ll pay $152 billion to extend the program in other states — while receiving nothing in return." That's a helluva gift from (mostly) red states to (mostly) blue ones.
Now the Supreme Court will take up King v. Burwell, in which the plaintiffs argue that the text of the Affordable Care Act makes it illegal for subsidies to flow through federally-run exchanges. If they're successful, then it will be possible for a state that opposes to Obamacare to withdraw from both the Medicaid expansion and the exchange subsidies — that is to say, from pretty much all of Obamacare's benefits. But they will still pay all of its costs. They will still pay the law's taxes and their residents will still feel the law's Medicare cuts. Obamacare will become a pure subsidy from the states that hate the law most to the states that have embraced it. It's like a fiscal version of reverse psychology.