The Democratic plan in the 'Affordable Care Act' has, I would say, more government support, more government regulation around trying to protect the finances of individuals, trying to protect people who had pre-existing conditions, making sure that they could actually be in an insurance market and not set off to the side.

The lower income individuals, under any Republican proposal, at least that I have seen, are real losers in the framework because there is not enough subsidy, not enough assistance, for them to realistically participate in the market. Particularly if you halt or rollback the Medicaid expansion, which is for the lowest income workers.

The premium tax credit that is in the Obama plan is exactly that - it is a tax credit, and it isn't cash. It is a discount on the amount that you pay for an individual policy based on your family size and your income.

Kathleen Sebelius Quotes