It's in the fabric of Obamacare and who it was created to help that those who will be hurt most by its repeal live in counties that voted Republican in 2016.
More than 20 million Americans now depend on the ACA, also known as Obamacare, for health insurance. Data from Gallup indicate that a lot of those people live in counties that favored Mr. Trump.
The Gallup data, analyzed with the county typology from the American Communities Project, show that eight county types have seen increases in health insurance coverage greater than the national average. Six of those types — representing about 77 million people or 33 million votes, a quarter of the total cast — sided with Mr. Trump, some by very large margins.
Some of the county categories listed in the table were particularly important to Mr. Trump. Swaths of largely rural Graying America, Rural Middle America and Working Class Country counties make up large parts of Florida, Michigan, Pennsylvania and Wisconsin, the states that led to Mr. Trump’s victory.
Do they deserve to lose their health insurance for falling for the bullshit Trump and Republicans pushed? Frankly, yes. If they voted for Trump and Republicans because they didn't believe the GOP would do what it has been promising to do for six years then they're going to be waking up to a pretty harsh reality soon—and the full realization that elections really do have consequences.
The problem with them getting what they deserve is that the rest of the population suffers. At this point, those same supporters will also probably figure out a way in their heads to blame it all on President Obama and the Democrats, with some help from the Republicans they elected.
On the other hand, when it's yanked away from them they might just really miss it, and actually blame the people who did that to them. Which is precisely why Democrats can't lift one damned finger to help them. Not in repealing it. Not in whatever bumbling scheme Republicans come up with in their attempts to replace it.