Derek: ENACT IT!!! QUICKLY!!! People don't understand what this actually means to our countries future. It means that those in rural areas (republican majority areas) will be left to fend for themselves in the wake of healthcare reforms they can't afford to purchase. The Bible Belt receives more federal assistance and Medicare than any other portion of the country. Democratic states don't have the same problem since the majority are well funded. The list of top ten states to receive federal assistance are all red states which should tell you something about how they take care of themselves. Even in Kentucky, they levied the money to build the Ark Encounter religious theme park from their own peoples taxes. "Y'all" did this to yourselves.