Affordable Care Act

The politics of the Affordable Care Act in the state of Louisiana aren't subtle: The law isn't popular.

The state was part of the lawsuit to strike down Obamacare in 2012; it didn't expand Medicaid and has no plans to. Louisiana also didn't set up its own marketplace to sell health insurance.

The Affordable Care Act requires all Americans to get health insurance or pay a penalty. To help coax people to buy a health plan, the federal government now subsidizes premiums for millions of Americans.

The old saying goes, "Nothing is certain except death and taxes." But the Affordable Care Act has added a new wrinkle.

For many policyholders, the ACA has introduced a good deal of uncertainty about their tax bills. That has led to surprise refunds for some and higher-than-expected tax payments for others.

Johnny Reynolds knew that something was wrong as far back as 2003. That's when he first started experiencing extreme fatigue.

"It was like waking up every morning and just putting a person over my shoulders and walking around with them all day long," says Reynolds, 54, who lived in Ohio at the time.

In addition, Reynolds was constantly thirsty and drank so much water that he would urinate 20 or 30 times per day. "And overnight I would probably get up at least eight or nine times a night," he says.

The Supreme Court heard arguments Wednesday in a case that could end Obamacare subsidies for policyholders in a majority of states, including Texas, Florida, Illinois, Pennsylvania and Ohio. If the court sides with the plaintiffs, it would mean millions of people could no longer afford health insurance.

Anne Roberson walks a quarter-mile down the road each day to her mailbox in the farming town of Exeter, deep in California's Central Valley. Her daily walk and housekeeping chores are her only exercise, and her weight has remained stubbornly over 200 pounds for some time now. Roberson is 68 years old, and she says it gets harder to lose weight as you get older: "You get to a certain point in your life and you say, 'What's the use?' "

The House voted 239-186 today to repeal the Affordable Care Act, the latest effort by the Republican-controlled chamber to scrap the law.

The measure also would direct panels to come up with a replacement for the healthcare law — though it doesn't provide a timeline on any new legislation or what provisions it may contain.

For two decades Atlanta restaurant owner Jim Dunn offered a group health plan to his managers and helped pay for it. That ended Dec. 1, after the Affordable Care Act made him an offer he couldn't refuse.

Subsidies under the health law for workers to buy their own coverage combined with years of rising costs in the company plan made dropping the plan an obvious — though not easy — choice.

A Shots post earlier this week by NPR's John Ydstie detailed the "family glitch" in the Affordable Care Act. That's where people who can't afford their insurance at work aren't eligible for help in the new insurance exchanges. Many of these Americans, most of whom make middling incomes, will remain uninsured.

That story got us wondering: Who else is getting left out by health law? And who is getting coverage?

Don Benfield of Taylorsville, N.C., makes $11 an hour working for a mobile-home parts business, selling things like replacement doors and windows.

Benfield, 51, doesn't have health insurance.

"I haven't had health care insurance in years, simply because I haven't been able to afford it, especially with food prices, how they went up," he explains.

Benfield's employer does offer health insurance coverage, even though, with fewer than 50 employees, the business is not required to.

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