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If this divide continues past 2014 and into 2016 or 2018 (which I believe it will do and widen over time); it could have serious electoral and economic consequences, especially for those states refusing to cooperate with the ACA. What will happen will be that either those states will come around and those elected officials who are refusing to cooperate with the ACA being voted out of office (or leaving on their own accord) and being replaced with officials who realize that the must go along with the act or be relegated to second class status.
Jobs and prosperity flow to locations and states where the climate is favorable and there is a well educated and productive population. Those states where most of their residents are insured and have a better health care infrastructure will attract business and industry while those states and locations that lack health care infrastructure will see business and industry (as well as population) leave.
Posted by golfinsailor
It wouldn't surprise me at all if those red states encouraged people to not participate in the exchanges. They will eventually get what they deserve.