WASHINGTON (AP) — Three years, two elections, and one Supreme Court decision after President Barack Obama signed the health care overhaul, its promise of coverage for the uninsured may be delayed or undercut in much of the country.
Entrenched opposition from Republican state leaders could lead to patchwork results.
In half the states, officials are racing to connect uninsured residents to coverage just months from now. In many others it's as if "Obamacare" had not been signed on March 23, 2010.
The federal government will step in and create new insurance markets in the 26 mostly red states that are declining to run their own.
But the federal pool might not get a broad cross-section of people, leaving it with what the government is calling the "sick and worried" — the costliest patients.