If the Republican replacement for the Affordable Care Act eventually passes, some people’s insurance prices will go up and others’ will go down. (Spoiler: if you’re poor or old, sucks to be you.) Wallethub ran the numbers for which cities will be most affected, and check out who gets the short end of the stick:
- Yuma, Arizona, whose metro area has some of the highest unemployment rates in the nation. Many jobs there are in agriculture, and people have a harder time getting by in the off-season. The average family there will get $7,815 less in assistance buying insurance.
- Anchorage, Alaska, which has some of the most expensive health insurance in the country. Many insurers have left the Alaska market entirely because it’s so hard to make money in the business: cost of living is high, and providers are few and far between.
- Syracuse, New York, which has been hemorrhaging manufacturing jobs for decades.
- Reading, PA, a majority Latino city in the middle of a mostly white, rural-ish county. It has high poverty rates and in 2011 was named the poorest city in America.
- Chattanooga, TN, a city whose economy is doing pretty well overall—but also has a serious problem with income inequality. Its sunny averages hide a large number of people deep in poverty. Averaging over everybody, families’ subsidies will be smaller by $5,786.
These are cities that would probably all love to be “great again,” but the richest cities in the US are the ones who would benefit under Trumpcare. San Francisco, New York City, and Washington, DC have the highest income in the nation, and all three would see their average resident get a higher, rather than a lower, subsidy on their insurance. If you want to see how your city would fare, check out the full list from Wallethub.