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.

A lot of the discussion about rolling back the Affordable Care Act is about dismantling the marketplaces where individuals are shopping for their own coverage when they don't get it in their workplace.

Kathleen Sebelius Quotes