Americans in states that Donald Trump carried in his march to the White House account for more than 4 in 5 of those signed up for coverage under the health care law the president still wants to take down.
An Associated Press analysis of new figures from the government found that 7.3 million of the 8.8 million consumers signed up so far for next year come from states Trump won in the 2016 presidential election. The four states with the highest number of sign-ups — Florida, Texas, North Carolina and Georgia, accounting for nearly 3.9 million customers — were all Trump states. AP's analysis found that 11 states beat 2017's enrollment figures. Of them, eight —Iowa, Kansas, Kentucky, Missouri, Nebraska, North Dakota, South Dakota and Wyoming— went for Trump, who posted double-digit victories in all but Iowa.
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Meanwhile, US life expectancy fell last year for a second year running for the first time in more than half a century, reportedly driven by the worsening opioid crisis.
Life expectancy in 2016 fell 0.1 years to 78.6, according to the National Center for Health Statistics.
It was the first consecutive drop since 1962-63. The last two-year decline before that was in the 1920s.
The previous fall in overall US life expectancy was a one-year drop in 1993, at the height of the Aids epidemic.
Years of over-prescription of opioid painkillers in the US has created a nationwide addiction crisis, with patients turning to heroin and other street drugs when their prescriptions stop.
"The key factor in all this is the increase in drug overdose deaths," said Robert Anderson, the chief of mortality statistics at the National Center for Health Statistics (NCHS), calling the two-year life expectancy drop "shocking".
To pay for the permanent corporate tax cut, Obamacare, Community Health Centers, Medicare and Medicare are all on the chopping block.