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A repeal of the ACA would be devastating for people in cities and towns across Washington. People and families from all backgrounds would lose the opportunity to receive preventative care, to see a doctor when they’re sick, or to have access to life-saving medications and treatments. In addition, the ACA repeal would trigger a dramatic reduction in federal funding that currently pays for health care for Washingtonians and cause job losses in health care and other sectors.
Below is a breakdown of how people would be impacted by geography and by race and ethnicity.¹
Because it is the most populated county in our state, King County is home to the largest number of those hurt by an ACA repeal. Over 200,000 people – or approximately a quarter of the Washingtonians who would lose coverage – live in King County. (See the map below for more information about how many people would lose coverage by county.)
Yet the loss of health coverage would be felt most significantly in rural and eastern Washington. In fact, more than 20 percent of adults of six rural counties (Grays Harbor, Jefferson, Okanogan, Pacific, Pend Oreille, and Yakima counties) currently receive health coverage through the ACA’s Medicaid expansion.² Further, many Washingtonians also receive subsidies to help them afford health coverage through Washington Health Plan Finder, which is part of the Affordable Care Act. So ultimately, at least 40 percent of adults rely on the ACA in six counties in our state (Adams, Franklin, Grant, Okanagan, Pacific, and Yakima).
The congressional districts with the largest percentage of residents hurt by the repeal are districts 4 and 5 in eastern Washington – which includes Spokane, Walla Walla, and the Tri-Cities.
The majority – approximately 65 percent – of adults who would lose coverage are white. Repealing the Affordable Care Act would nevertheless disproportionately harm Black, Latino, and Asian Pacific Islander Washingtonians since approximately one in five Black, Latino, and Asian Pacific Islander adults in Washington would lose coverage, compared to approximately one in ten white adults. It is important to note that both prior to and with the Affordable Care Act, people of color are more likely to face barriers to getting health coverage due to a history of exclusionary policies, such as lower rates of employer-sponsored insurance among professions that traditionally employ more people of color.
The Affordable Care Act helped reduce racial disparities in health insurance coverage and the ACA repeal would reverse this progress. (For more information about nationwide gaps in coverage by race and ethnicity, see this Kaiser Family Foundation policy brief. )
But the numbers only tell part of the story. Please tell your story about your own experience with the Affordable Care Act to ensure that consumer voices are at the center of our country’s health care debate.