I spent the day talking with several West Virginians who were impacted by the Affordable Care Act. This included someone who received coverage through Medicaid expansion, some who purchased health care on the exchange, and someone who works in a primary care center.
Their experiences varied widely. Based on what I heard now and in the past, it's pretty clear that those who gained coverage through Medicaid expansion (around 200,000 in WV in a typical year) really like it and are grateful for it.
It's a bit more complicated for those who gained coverage by purchasing it on the exchange, some of whom had life-threatening illnesses. Two out of three of the people I spoke with were concerned with premiums and deductibles which increased, often dramatically, even as their incomes stayed the same.
One thing everyone agreed on was that they needed the coverage they had and that repeal of the ACA without a replacement--preferably a better, more affordable one--would only make the situation worse. There was also zero interest in health savings accounts-- mostly because there was little or nothing to put in them.
Lots more on this to come.